Surgery & perioperative · History + examination

Swollen lower abdomen

Medium

8 min station · 2 min reading · Recommended for UWA Year 3 students

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C M P V

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

Instructions

You are a medical student on placement in general practice in Northam. Your next patient is Lionel Hatfield, 79, presenting with a swelling in his lower abdomen for a month and dribbling urine.

  1. Take a focused history

  2. Perform a focused examination

  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
Practising alone? Ask the examinerFindings appear only when you ask for them

Investigations

Examination

After treatment

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