General practice · Explanation & counselling

Methotrexate counselling

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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N X J F

2 min reading · 10 min station · reminders at 2 min

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.

  1. Take a focused history from Mr Mahoney

  2. 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.

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