Station - Instructions for candidate
You are an intern working in the Emergency Department of a metropolitan hospital in Perth. It is 1 pm.
Linh Tran, 26, was brought in by ambulance at 10.30 am after collapsing and shaking in the restaurant kitchen where she works. She was confused on arrival but is now fully recovered and wants to go home. A colleague who saw the event has given a description to the nurse, which the examiner can provide. Observations and a bedside glucose have been recorded.
| Triage note | 26 F. Collapse with shaking at work, witnessed. Post-ictal on arrival, GCS 14, now GCS 15. Bitten tongue. Category 3. |
|---|---|
| Observations | HR 84 /min regular, BP 118/72 mmHg, RR 14 /min, SpO2 98% on room air, T 36.9 degrees C, GCS 15, glucose 5.4 mmol/L |
Your tasks are to:
- Take a focused history from Linh, and ask the examiner for the witness account when you need it.
- Request the investigations you need today and state which can wait for the outpatient clinic. The examiner will provide results where appropriate.
- State your most likely diagnosis and the differential diagnoses to the examiner.
- Outline your management plan and give Linh the advice she needs before she leaves.
- You do NOT need to examine the patient; the examiner will give you the examination findings if you ask.
- You do NOT need to summarise the history to the examiner.
- State drug, dose and route if you prescribe anything.
This is a 10-minute station, with 2 minutes of reading time.