Weight gain and bruising

Instructions

You are a medical student on placement in general practice. Your next patient is Murray Pendergast, 64, a retired farmer who has put on about 10 kg over the past year and whose skin tears and bruises at the slightest knock.

1. 1

   Examine the patient

2. 2

   Outline to the examiner:

   • Your findings
   • Your most likely diagnosis

• You do not need to take a full history
• Describe your examination as you go; findings that cannot be seen on the patient will be given on request
• The examiner will ask you one question at the end