Medicine · History + examination

Diarrhoea on the ward

Medium

8 min station · 2 min reading · Notre Dame Year 4

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F W T D

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

Instructions

You are an intern on the medical ward. It is 10 am, and the nurse has called you to see Kenneth Lau, 78, admitted six days ago with pneumonia, who has had frequent watery bowel motions since yesterday afternoon.

  1. Take a focused history

  2. Examine the patient

  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
Practising alone? Ask the examinerFindings appear only when you ask for them

Investigations

Examination

After treatment