Weight loss history scenario
candidate brief
actor brief
examiner brief
- Introduces self to patient and confirms their identity
- Ensures no immediate pain
- Establishes presenting complaint
- Specifically enquires about:
- period and quantity of weight loss
- B symptoms - night sweats
- gastro - diarrhoea/change in bowel habit/PR bleed/vomiting/easy satiety
- resp - cough, SOB
- GUM - polyuria, dysuria, haematuria
- haem - bruising/bleeding
- Past medical history
- Drug history and allergies
- Social history including recreational drugs
- Family history
- Explains differentials
- Suggests appropriate investigations
- Explains f/up required
- Invites questions
- Addresses patient's concerns