Emergency · History + examination

Cough, fever and rusty sputum - Emergency Department

MediumYear 5 · Curtin style · 15 min + 2 min reading · 5 tasks

Ready

2 min reading, 15 min station, warning at 2 min.

Station - Instructions for candidate

You are an intern in the Emergency Department of a Perth teaching hospital.

Dave Kowalski, a 58-year-old forklift driver, has presented with three days of fever and a cough. The triage nurse has recorded his observations and placed him in a monitored cubicle.

Triage observationsTemperature 38.9 C, HR 104 regular, BP 118/70 mmHg, RR 26, SpO2 93% on room air, alert and orientated, pain score 5/10 on breathing in.

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Request any relevant investigations and interpret the results provided.
  4. State your most likely diagnosis and differential diagnoses to the examiner.
  5. Outline your management plan to the examiner.
  • You do NOT need to summarise your findings to the examiner.
  • Please verbalise your examination to the examiner; findings will be provided on request.

This is a 15-minute station, with 2 minutes of reading time.

Ask the examiner

Say what you would examine or request, the way you would in the station. Nothing is named until you ask for it.

Whatever the examiner recognises is revealed below. Or pick a numbered item to reveal it blind.

Investigations

Ask for a category the way you would in the station: “Can I have the obs and a set of bloods?”

Examination

Say what you would examine and how; the examiner reports what you would find.

Generated by AI for practice; check doses and pathways against eTG / AMH before relying on them.