Coughing blood, breathless

Instructions

You are a medical student on placement in the medical outpatient clinic at Broome Hospital. Your next patient is Tamika Collard, 26, who has become increasingly breathless and, more recently, has been coughing up blood.

1. 1

   Take a focused history

2. 2

   Perform a focused examination

3. 3

   Outline to the examiner:

   • Your most likely diagnosis
   • 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