Surgery & perioperative · History + examination

Confusion and flank ache

Hard

15 min station · 2 min reading · Recommended for Curtin Year 5 students

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M B V Q

2 min reading · 15 min station · reminders at 2 min

Instructions

You are a medical student on placement in a rural emergency department. Your next patient is Bruno Zammit, 74, brought in by his daughter with confusion.

  1. Take a history from the patient and his daughter

  2. Examine the patient

  3. Outline to the examiner:

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

Urinalysis

Urinalysis
ItemValueReference range
Leucocytes3+negative
NitritesPositivenegative
Blood1+negative
ProteinTracenegative
KetonesNegativenegative
GlucoseNegativenegative
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Investigations

Examination

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