Medicine · History + examination

Sleepy and confused

Medium

8 min station · 2 min reading · UWA Year 4

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B Z N R

2 min reading · 8 min station · reminders at 1 min

Instructions

You are a medical student on placement in the emergency department. Quang Lam, 63, has been brought in by his wife, Thuy, because he has been sleepy and confused for three days.

  1. Take a focused history from his wife

  2. Perform a focused examination

  3. Outline to the examiner:

    • Your most likely diagnosis and differentials
    • Next steps in management, including relevant investigations
  • Please verbalise your examination; findings will be provided on request
  • You do not need to summarise your findings to the examiner
Practising alone? Ask the examinerFindings appear only when you ask for them

Investigations

Examination

After treatment