Station - Instructions for candidate
You are an intern in the Emergency Department of Royal Perth Hospital.
Terry Falzon, a 66-year-old retired fitter and turner, has come in because his waterworks have packed up again over the last two days. He has had waterworks trouble for years and takes a tablet for it, and he has had two weeks of bad back and leg pain for which his GP prescribed strong pain tablets. Triage observations are in the notes.
| Temperature | 36.9 degrees C |
|---|---|
| Heart rate | 92 beats/minute |
| Blood pressure | 128/74 mmHg |
| Respiratory rate | 18 breaths/minute |
| Oxygen saturation | 98% on room air |
| Pain score | 5/10 in the back, worse at night |
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.