Pale and yellow with a cold

Instructions

You are a medical student on placement in general practice. Your next patient is Harry Pembury, 6, brought in by his father, Luke, because he has a cold and has now gone pale, with yellow eyes.

1. 1

   Take a focused history from his father

2. 2

   Outline to the examiner:

   • Relevant investigations
   • Your most likely diagnosis and differentials

• You do not need to examine Harry, discuss management or summarise your history
• The examiner will give you the results of any investigations you request
• The examiner will ask you one question at the end.