Loss of smell after a bike fall

Instructions

You are a medical student on placement in the emergency department. Your next patient is Dario Lombardi, 34, presenting with loss of smell and taste since coming off his bike ten days ago.

1. 1

   Take a focused history

2. 2

   Examine the patient

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials

• You do not need to summarise your findings or discuss management with the patient
• Please verbalise your examination; findings will be provided on request
• The examiner will ask you questions at the end