Acute vision loss scenario
candidate brief
actor brief
examiner brief
Choose from:
- 65yo Doris, known polymyalgia rheumatica and osteoporosis - Left eye reduced acuity, headache
- 55yo male - diabetes -
- Introduces self to patient and confirms their identity
- Offers analgesia, ensures patient comfort
- Establishes presenting complaint
- Specifically enquires about:
- nature of vision loss
- relevant features of vision loss
- presence of pain
- presence of double vision
- associated symptoms - headache
- precipitating factors
- systemic features
- systems enquiry
- Past medical history
- Family history
- Medications and allergies
- Social history (and illicit drug use)
- Elicits patient’s concerns
- Explains differential diagnosis
- Explains plan
- Answers patient’s questions appropriately
- Shows empathy
- Checks patient’s understanding of diagnosis and plan
- Checks if patient has further questions
- Global mark from patient
- Global mark from examiner
125 MRCEM stations - pg 115 of pdf, or pg 100 of book