Feverish and confused

Instructions

You are an intern in the emergency department at Kununurra Hospital. Your next patient is Wesley Brennan, 54, brought in by his wife Marlene with three days of fever, cough and feeling unwell, and drowsy and muddled since this morning.

1. 1

   Assess and manage the patient using an A to E approach

2. 2

   Outline to the examiner:

   • Your findings
   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• The examiner acts as the nurse and carries out your instructions; describe procedures rather than doing them
• You do not need to take a full history