June 2009 History

Jenny, 30 y.o. lady is worried about her son Max (3 y.o.) who has been playing up a lot. Please take history.

Examination
Joseph, 45 y.o. man is planning to go travelling. During his medical check-up, he is found to have heart murmur. Please examine. Mr Anthony, 50 y.o. man has returned from a trip to Thailand 2 days ago. Now has pain in calf & SOB. Please examine.

Counselling
Mary, 44 y.o. lady has not had a period for 16 weeks. Your nurse has just performed a pregnancy test which is positive. Mary is very upset & wants a termination. Berryl, 50 y.o. lady has come in for a general check-up. BSL = 15.1 Please explain result & suggest treatment.

Interactive

Static
5x pictures of tympanic membranes write dx & rx.

Sally, 16 y.o. lady has been brought in by ambulance. She has multiple scars on her wrist & has cut her wrist again this has been bandaged by your nurse. Please take history. Do not examine. Mr. Issac, 55 y.o. man was admitted to hospital last week with a pneumonia. Now following up with GP. You did his CBC & Hb = 101. Take history & discuss ddx. Ms. Anna, 24 y.o. lady who has been previously treated for chlamydia presentes with vague lower abdominal pain, greenish discharge & fishy smell. Take history & discuss ddx with examiner. Mr Filimone, 65 y.o. presentes with shortness of breath. Please take history. Mr. Leigh, 45 y.o. man presents with bloody diarrhoea & crampy abdominal pain. Please take history.

Pictures of skin lesions give dx & rx

Sean, 23 y.o. man presents with a severe back ache after lifting a heavy box. Pain goes to his right foot. Please examine him.

Mrs. Collins, 58 y.o. lady has recently been found to have breast cancer with metastasis to bone. She has come in with back pain, constipation, nausea, vomiting & abdominal pain. Serum Ca2+ is high.

Discharge summary

Different types of headaches dx & rx