Emergency · History

Vomiting every morning, and hot showers help - Emergency Department

MediumYear 5 · Curtin style · 10 min + 2 min reading · 4 tasks

Ready

2 min reading, 10 min station, warning at 2 min.

Station - Instructions for candidate

You are an intern in the Emergency Department of a Perth teaching hospital.

Tyler Brennan, a 26-year-old apprentice electrician, has presented with two days of vomiting. The triage note says this is his third presentation this year with the same problem. His observations are on your sheet.

Triage noteVomiting for 2 days, unable to keep fluids down. Similar presentations in February and June; discharge summaries record normal gastroscopy, abdominal ultrasound and CT abdomen. HR 104, BP 112/70 (postural drop 12), RR 16, temperature 36.9 C, SpO2 98% on room air. Weight 66 kg (71 kg in February).

Your tasks are to:

  1. Take a focused history.
  2. State your most likely diagnosis and differential diagnoses to the examiner.
  3. Request any relevant investigations.
  4. Outline your initial management plan to the examiner.
  • You do NOT need to examine the patient; the examination findings are available from the examiner on request.
  • You do NOT need to summarise your findings to the examiner.

This is a 10-minute station, with 2 minutes of reading time.

Ask the examiner

Say what you would examine or request, the way you would in the station. Nothing is named until you ask for it.

Whatever the examiner recognises is revealed below. Or pick a numbered item to reveal it blind.

Investigations

Ask for a category the way you would in the station: “Can I have the obs and a set of bloods?”

Examination

Say what you would examine and how; the examiner reports what you would find.

Generated by AI for practice; check doses and pathways against eTG / AMH before relying on them.