Instructions
You are a medical student on placement in general practice. Ryan Mahoney, 38, has newly diagnosed rheumatoid arthritis. His rheumatologist has started methotrexate 10 mg once weekly, with folic acid, and asked the GP to go through it with him.
Take a focused history from Mr Mahoney
Counsel Mr Mahoney on methotrexate and agree a plan
- You do not need to examine the patient
Baseline tests
FBC, LFTs and creatinine normal. Hepatitis B and C negative. Chest X-ray normal.