Abdominal pain scenario
candidate brief
actor brief
scenario 1
80yo with bilateral loin pain - colicky in nature
hypertension, IHD, no previous history of stones
Ddx: AAA - not be caught out by 'bilateral renal colic' - indicates CT aorta.
scenario 2
55yo 2/7 abdo pain, vomiting, BNO 2/7
PMH: diverticular disease, T2DM
DHx: metformin, gliclazide
smoker
Ddx: diverticulitis, surgical abdomen. Bloods, CTAP and r/v.
scenario 3
3yo with bloody diarrhoea, abdo pain, reduced PU
ddx: gastroenteritis/dysentery, but need to rule out Haemolytic uraemic syndrome
examiner brief
- Washes hands, introduces self
- Confirms patient identity
- Checks patient comfort before starting
- Appropriate management plan
- Explains differentials
- Invites questions
- Address patient concerns
- Thanks patient
- Global mark examiner
- Global mark patient