Diarrhoea scenario
candidate brief
actor brief
scenario 1
Returned from Mexico - attended wedding in jungle
Stayed in resort but travelled out to jungle
No other ill contacts
scenario 2
7yo son is also unwell with diarrhoea and vomiting
scenario 3
3 month history of diarrhoea
In ED because
examiner brief
- Washes hands, introduces self
- Confirms patient identity
- Checks patient comfort before starting
- Asks specifically about
- duration of symptoms
- blood/mucus in diarrhoea
- possible exposures overseas
- Past medical history
- Drug history and allergies
- Social history
- States need to examine patient
- Appropriate management plan
- Explains differentials
- Invites questions
- Address patient concerns
- Thanks patient
- Global mark examiner
- Global mark patient
scenario 1
- Asks specifically about possible exposures -
- duration of visit
- where exactly visited and urban vs rural etc.
- types of activities done while overseas
- animals/livestock
- fresh/open water
- type of accommodation overseas
- Any Prophylaxis taken?
scenario 2
- Establish if clinically dehydrated
scenario 3
- Establish if clinically dehydrated
- Suggests investigations at appropriate pace - outpatient, GP for coeliac screen/FIT/faecal calprotectin