Slurred speech, unsteady

Instructions

You are a medical student on placement in the emergency department of a regional hospital. Your next patient is Sanjay Sharma, 48, who has had three days of slurred speech and unsteadiness; his wife has brought him in, fearing a stroke.

1. 1

   Take a focused history

2. 2

   Perform a focused examination

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings to the examiner
• Verbalise your examination; the examiner will give findings on request