Medicine · History + examination

Seeing children and falling

Hard

8 min station · 2 min reading · Notre Dame Year 3

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D Q D P

2 min reading · 8 min station · reminders at 1 min

Instructions

You are a medical student on placement in general practice. Your next patient is Keith Hollister, 76, a retired engineer, brought in by his daughter Joanne, who is worried about his memory and thinking and says he now sees children in the garden and has had several falls.

  1. Take a focused history from his daughter

  2. Perform a focused examination

  3. Outline to the examiner:

    • Your most likely diagnosis and differentials
    • Next steps in management, including relevant investigations
  • Please verbalise your examination; findings will be provided on request
  • You do not need to summarise your findings to the examiner
  • You do not need to perform a cognitive screening test
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Investigations

Examination

After treatment