Lump from the back passage

Instructions

You are a medical student on placement in the surgical outpatient clinic. Your next patient is Beryl Ashcroft, 76, referred by her GP with something coming out of her back passage for six months.

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
• Any intimate examination is performed on a manikin