2 min reading · 15 min station · reminders at 2 min
2 min reading · 15 min station · reminders at 2 min
Instructions
You are an intern on the orthopaedic ward. It is 4 am, and the night nurse asks you to see Lakshmi Pillai, 84, who had surgery to fix a fractured right hip two days ago and has become increasingly short of breath over the last two hours.
1
Perform an A to E assessment and treat as you go
2
Outline to the examiner:
Your findings
Your most likely diagnosis and differentials
Next steps in management, including relevant investigations
A nurse will carry out your instructions
You do not need to take a full history
Observations at 4 am
RR 30, SpO2 86% on air, HR 112, BP 165/90, T 37.4, alert; weight on admission 58 kg
Practising alone? Ask the examinerFindings appear only when you ask for them
Investigations
Examination
After treatment
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