Station - Instructions for candidate
You are a final-year medical student on placement in the Emergency Department of Fiona Stanley Hospital.
Aldo Petrelli, a 71-year-old retired hairdresser, has come to the Emergency Department because he has not been able to pass urine since early this morning. He has had six months of waterwork troubles. He is uncomfortable but not distressed, and the triage nurse has recorded his observations.
| Temperature | 36.8 degrees C |
|---|---|
| Heart rate | 88 beats/minute |
| Blood pressure | 142/86 mmHg |
| Respiratory rate | 16 breaths/minute |
| Oxygen saturation | 98% on room air |
| Pain score | 6/10 in the lower abdomen |
Your tasks are to:
- Take a focused history of the presenting complaint.
- Perform a focused examination of the abdomen, external genitalia and rectum on the model provided. Describe to the examiner what you are looking for, and the relevant findings will be provided to you.
- Request any relevant investigations and interpret the results provided to you.
- State your most likely diagnosis with differentials to the examiner.
- Outline your initial management plan.
- Findings will be provided by the examiner on request.
- You do NOT need to summarise your findings to the examiner.
- You do not need to consent the patient for a procedure today, but explain what you propose to do next.
This is a 15-minute station, with 2 minutes of reading time.