Vomiting after hip surgery

Instructions

You are an intern on the orthopaedic ward. You are asked to see Valerie Kostas, 76, three days after a right total hip replacement, because she has been vomiting today and is not eating.

1. 1

   Take a focused history

2. 2

   Perform a focused examination

3. 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
• You do not need to write on the medication chart