Medicine · History + examination

Sweaty and wanting to leave

Medium

8 min station · 2 min reading · Recommended for UWA Year 4 students

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S X T S

2 min reading · 8 min station · reminders at 1 min

Instructions

You are an intern on the medical ward. At 9 am on Monday the nurse asks you to see Emmanuel Bautista, 41, admitted early on Sunday with left forearm cellulitis, because he is sweaty, restless and says he is going home.

  1. Take a focused history

  2. Perform a focused examination

  3. Outline to the examiner:

    • Your most likely diagnosis
    • Next steps in management
  • Please verbalise your examination; findings will be provided on request
  • You do not need to summarise your findings to the examiner

Inpatient medication chart

Cefazolin 2 g IV 8-hourly (since Sunday 4 am); paracetamol 1 g orally 6-hourly when needed (max 4 g in 24 hours); enoxaparin 40 mg subcut daily

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Investigations

Examination

After treatment

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