Dysuria scenario
male dysuria - ask about STI
female dysuria - ask about gynae
male
candidate brief
Jack is a 19yo who has presented to ED with dysuria. Please take a history.
actor brief
examiner brief
- Washes hands
- Introduces self
- Confirms identity of patient
- Verbal consent - signpost potentially intimate questions
- Ensure privacy/dignity
- Asks about key symptoms
- dysuria
- discharge
- urinary frequency
- sores/ulcers
- pruritis
- testicular pain or groin swelling
- Previous episodes
- Takes appropriate sexual history
- Recent or casual unprotected sex
- Sex with man/women
- Vaginal/anal/oral
- Foreign travel/sex
- PMHx, DHx, Allergies
- Offers to prceed to examination
- Able to discuss potential STI diagnosis with patient and signpost to GUM clinic
- Talks about importance of protected intercourse/abstinence
- Thanks patient
- Global score