Station - Instructions for candidate
You are a final-year medical student on placement in a general practice in Willetton. The GP has asked you to see the next patient and report back.
Jia/Daniel Zhang, 17, has been brought in after collapsing at home earlier today. The practice nurse has recorded observations. The person who brought them in has agreed to wait outside for the first part of the consultation.
| Practice nurse observations (today) | HR 44 /min lying; BP 96/60 mmHg lying, 74/48 mmHg standing (dizzy); RR 14 /min; SpO2 98% on room air; T 35.6 degrees C (tympanic); weight 44 kg; height 168 cm; BMI 15.5; fingerprick glucose 3.6 mmol/L |
|---|---|
| Practice record | Weight at last visit 8 months ago: 60 kg (BMI 21.3). Immunisations up to date. No medical history. No regular medicines. No previous mental health contact. |
Your tasks are to:
- Take a focused history from the young person, including eating, exercise, weight and mood.
- Describe to the examiner the mental state findings you have observed during the interview, with your assessment of risk.
- Request any investigations you consider necessary; the examiner will provide results where appropriate. State your most likely diagnosis and the differential diagnoses to the examiner.
- Outline your initial management plan to the examiner and explain it to the young person, including whether they need to be in hospital today and how their mother will be involved.
- You do NOT need to summarise your findings to the examiner.
- You do NOT need to perform a physical examination; the observations are on your sheet and further findings are available from the examiner on request.
- Plan the station: about 6 minutes for the history, 3 for the mental state, and 6 for investigations, diagnosis and management.
This is a 15-minute station, with 2 minutes of reading time.