2 min reading · 8 min station · reminders at 1 min
2 min reading · 8 min station · reminders at 1 min
Instructions
You are an intern on the surgical ward. The nurse has called you at 7 am to see Weiming Tang, 68, on day 5 after keyhole bowel surgery for rectal cancer, because he is sweaty and his pulse is fast; the surgical registrar is in theatre and can be phoned.
1
Assess and manage the patient using an A to E approach
2
Outline to the examiner:
Your most likely diagnosis and differentials
Next steps in management, including relevant investigations
A nurse will carry out your instructions; findings are given as you examine or ask for them
You do not need to take a full history
You do NOT need to summarise your findings to the examiner
Observations at 7 am
HR 134, BP 94/58, RR 26, SpO2 93% on room air, T 38.6
Practising alone? Ask the examinerFindings appear only when you ask for them
Investigations
Examination
After treatment
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