Scenarios

Presenting Complaint

The patient has anxiety issues and obsessivecompulsive disorder. They have been referred for CBT (Cognitive Behavioural Therapy). They are rather perplexed about what this will involve and is hoping to speak to someone about it.

Presenting Complaint

The patient has come in today with a breast lump. They would like to be seen by a female doctor and will only speak to a male doctor if he promises not to examine her.

Presenting Complaint

The patient has just been involved in a car accident where they were the driver. The car has been written off but other than a minor contusion and a fractured humerus, they are medically stable. Unfortunately, this was not the case for their partner, who was pronounced dead on arrival to hospital. The patient is unaware of the events and wishes to speak to a doctor.

Presenting Complaint

You are presented with a doctor's notes.

Presenting Complaint

You are responding to an attempted suicide case in an apartment block.

Presenting Complaint

You are responding to a 64-year old female with a shortness of breath.

Presenting Complaint

You are responding to an in-flight emergency.

Presenting Complaint

You are responding to a 37-year-old male patient with flank pain.

Presenting Complaint

You are responding to a 28-year-old female in labour.

Presenting Complaint

The patient is 10 weeks pregnant. They are attending the department because they have been suffering from intractable vomiting. They are at their wits’ end and are desperate for something to make them feel better.

Presenting Complaint

The patient is 37 weeks pregnant. They have been feeling generally unwell for the past few days but also has a severe headache today. They have come to find out if they are allowed to take any painkillers for their headache as they are scared of harming the baby.

Presenting Complaint

The patient is attending the antenatal ward. When passing urine a few hours ago, they noticed some blood in the toilet bowl. They are incredibly anxious as they have not felt the baby move for the last hour or so.

Presenting Complaint

The patient is attending the clinic complaining of a dragging sensation down below.

Presenting Complaint

The patient is attending the department because they have been feeling very unwell for the past two days. They are shivery and complaining of abnormal discharge.

Presenting Complaint

The patient is attending the clinic because of abnormal vaginal bleeding.

Presenting Complaint

The patient is attending the clinic because of ongoing pelvic pain.

Presenting Complaint

A parent is concerned about their son, Mikey, who appears to have developed a horrible cough in the last 3 days.

Presenting Complaint

A parent has brought their 9 month old baby to the department after an episode this afternoon, where she was witnessed shaking uncontrollably. The parent is very anxious and wants to speak to a doctor immediately.

Presenting Complaint

A parent attends the department and is extremely anxious. They have noticed that their baby is starting to look yellow and are very upset.

Presenting Complaint

A parent is attending the department with Luca, their two year old son, who has been complaining of severe abdominal pains.

Presenting Complaint

A parent has come to the clinic because they are concerned that their son, James, is slow at picking up new skills and wonders whether he may have a developmental problem.

Presenting Complaint

The patient has been brought in by their mother, who says they have been behaving oddly at home and she is worried her child is taking drugs.

Presenting Complaint

The patient comes in for follow-up of their asthma, which was diagnosed by spirometry 2 months ago. They were prescribed a fluticasone (steroid) inhaler, to use 1 puff twice a day, and albuterol inhaler with a spacer as needed. They were recommended to check peak flow twice a day; their maximum peak flow was 600.

Presenting Complaint

The patient is a 5-year old boy brought in by his parent for evaluation of a sore throat.

Presenting Complaint

The patient has come into the practice complaining of chest pain.

Presenting Complaint

The patient has been admitted for an elective inguinal hernia repair tomorrow. The surgeon has explained the procedure and consented them for the operation. The surgeon mentioned that the patient would be kept warm during their operation. The patient asks you why keeping them warm is necessary and what the best way of doing this is.

Presenting Complaint

A colleague nurse takes a 30 milligram Codeine Phosphate tablet from the drug cupboard. She puts it into her mouth and swallows it in front of you. You ask if she is okay and she tells you she needs the tablet for a headache. As far as you are aware, this is an isolated incident.

Presenting Complaint

The patient has been diagnosed with obstruction of the bowel and the doctor has requested the insertion of a urinary catheter for fluid monitoring.

Presenting Complaint

The patient has undergone a right hemicolectomy and colostomy formation. They are 3 days post-surgery. The one-piece stoma bag needs to be replaced and the patient is currently not well enough to do this themselves.

Presenting Complaint

The patient is complaining of feeling generally run down and unwell. They have been brought in by their friends as they are too weak to walk themselves.

Presenting Complaint

A parent has brought their son, Max, because they are worried that he doesn't seem to be putting on as much weight or growing as he should.

Presenting Complaint

The patient is attending the clinic with red and itchy eyes. They appear to be distressed.

Presenting Complaint

The patient is attending the clinic with red and itchy eyes.

Presenting Complaint

The patient has come into the surgery to speak about problems with their vision.

Presenting Complaint

The patient has come in as they are having trouble with their hearing recently.

Presenting Complaint

The patient has come in as they have been suffering from daily nosebleeds.

Presenting Complaint

The patient is attending the department complaining of a lump in their groin. They are wearing baggy trousers.

Presenting Complaint

The patient has come in with “stuff” coming out of their right breast.

Presenting Complaint

The patient has come in complaining of poor urinary stream. They have come with their spouse but would like them not to be present during the consultation as they are a little shy talking about such “vulgar” matters.

Presenting Complaint

The patient has come in with a lump in their left scrotum. They are embarrassed about this and would prefer to see a male doctor but will settle for a female doctor if there isn't anyone else around.

Presenting Complaint

The patient is attending the urology clinic complaining of haematuria.

Presenting Complaint

The patient has come in complaining of lower back pains.

Presenting Complaint

The patient is complaining of painful hands. They look impatient in the waiting room and really want someone to help them.

Presenting Complaint

The patient is complaining of painful joints. They have their right wrist bandaged up and are holding it carefully, taking care that no one walks into them.

Presenting Complaint

The patient complains of painful joints. They are limping as they walk into the clinic.

Presenting Complaint

The patient has come in because they have not been “feeling themselves” for the last week or so. They have told the receptionist that they're complaining of “strange sensations” and feeling “different” somehow.

Presenting Complaint

Mrs Lacey is an elderly lady who has come to the clinic, accompanied by her carer. Her carer is concerned that she has been getting more confused lately.

Presenting Complaint

The patient has come to the clinic because their spouse has been complaining that they have been getting a lot more forgetful.

Presenting Complaint

The patient has just been admitted to the ward with headaches.

Presenting Complaint

The patient has come to the department with their spouse complaining of a bad headache.

Presenting Complaint

The patient has come to the hospital as they are experiencing diarrhoea. Their clothes rather loose on their delicate frame.

Presenting Complaint

The patient has come in because they are experiencing diarrhoea. They look embarrassed to be here today.

Presenting Complaint

The patient has come to the hospital with abdominal pain. They are accompanied by their spouse who looks very concerned and tells you that the patient needs urgent help.

Presenting Complaint

The patient has come in complaining of abdominal pain and really wants something sorted as they are upset that they haven't been able to eat as much as usual.

Presenting Complaint

The patient has come in because they have been passing blood from their back passage. They are looking rather pale.

Presenting Complaint

The patient has a history of difficulty swallowing and has been referred by their GP.

Presenting Complaint

The patient has come to the department with their friends after a night out. The friends are laughing and prodding the patient. They jokingly say: “come on, stop pretending! We’ve brought you to the hospital now!” The patient looks very tired, annoyed, and worse for wear.

Presenting Complaint

The patient complains of feeling bloated and says they have been vomiting.

Presenting Complaint

The patient has come to the clinic because they are concerned that they're getting more “puffy” these days.

Presenting Complaint

The patient has just been brought into the department by ambulance from their nursing home with difficulty breathing.

Presenting Complaint

The patient has come into the department complaining of feeling unwell. They are short of breath and coughing up blood. They look drawn out and tired but say they need to be investigated straight away.

Presenting Complaint

The patient has come into the department with their daughter, complaining of feeling nauseated, dizzy and generally “not right.”

Presenting Complaint

The patient has come to the clinic complaining of chest pain. They look worried and have asked for an urgent appointment.

Presenting Complaint

The patient has been brought into the hospital by their spouse after waking up and complaining of left-sided weakness.

Presenting Complaint

The patient has been brought in by an ambulance still wearing pyjamas after vomiting a large amount. They are unkempt, look unwell, and are very anxious.

Presenting Complaint

The patient has attended the clinic complaining of problems with sight.

Presenting Complaint

The patient experienced abdominal pain two weeks ago and was sent for an ultrasound to look for gallstones. The patient would like to have a discussion about gallstone disease and preparation for the scan.

Presenting Complaint

The patient is 15 weeks pregnant with dichorionic, dizygotic twins. She has come to the antenatal clinic because she has lots of questions regarding her pregnancy.

Presenting Complaint

The patient stopped drinking two days ago and presents today feeling unwell. They tell you they feel rotten and want you to help desperately.

Presenting Complaint

The patient is a Jehovah's Witness and is due for laparoscopic right hemicolectomy tomorrow morning. They have already discussed refusal of any blood products and signed a consent form accepting risks. The patient's spouse has come to visit and wants to speak with a doctor in private.

Presenting Complaint

The patient is visiting from Spain. They speak poor English and you cannot speak Spanish, but notice them wincing in pain and holding their arm.

Presenting Complaint

The patient has just been diagnosed with high cholesterol after having a heart attack two months ago.

Presenting Complaint

The patient has been brought in by their spouse to the outpatient clinic because of speech problems. These have been going on for a week now and their spouse is rather worried.

Presenting Complaint

The patient has been admitted to your ward with weight loss and shortness of breath.

Presenting Complaint

The patient has attended the clinic with red and itchy eyes and appears rather impatient to talk to the doctor.

Presenting Complaint

The patient presents with a history of passing blood through their back passage. They appear shaken and alarmed.

Presenting Complaint

The patient has come to the clinic today to see the doctor regarding a nasty rash their daughter has developed all over her body.

Presenting Complaint

You prescribed the patient Augmentin earlier this morning for pyelonephritis, without realising they are allergic to this medication. They did not develop a severe reaction but are now complaining of a rash and are very angry.

Presenting Complaint

The patient is attending the gynaecology clinic because of episodes of post-menopausal bleeding.

Presenting Complaint

The patient has come to the antenatal clinic because she is one week overdue.

Presenting Complaint

The patient complains of painful joints in their hands. You notice that they are wrapped up under many layers of clothing.

Presenting Complaint

The patient is a final year medical student who has come to see you this afternoon. They look rather nervous and upset.

Presenting Complaint

The patient is a lawyer working in the city and has been complaining of a sore throat for the last two days. They are very upset about the pain and want you to prescribe them antibiotics.

Presenting Complaint

The patient was referred for a barium enema examination by your colleague because they were complaining of a change in bowel habit. The procedure was done yesterday and the patient has come into your surgery today and is very furious.

Presenting Complaint

The patient is attending the practice with a history of heavy periods.

Presenting Complaint

The patient has come into your surgery looking tired and wearing dark sunglasses. They are holding their head in their hands and complain of a headache.

Presenting Complaint

The patient is attending the clinic because despite trying to conceive, she has not fallen pregnant. The GP recently organised a transvaginal ultrasound scan which showed that both ovaries were bulky with multiple follies on the surface of them. She has heard that polycystic ovary syndrome can make you infertile, and is quite worried.

Presenting Complaint

The patient has attended the clinic today because of feeling fatigued and is complaining of weight loss.

Presenting Complaint

The patient has been admitted to your ward with bruising and complaining of being "off legs". They are elderly and look confused and bewildered at being in hospital. The patient's daughter has accompanied them.

Presenting Complaint

The patient has come in today to discuss their dizzy spells. They look fed up and keep holding their head in their hands.

Presenting Complaint

The patient complains of having difficulty sleeping and appears rather withdrawn in their affect.

Presenting Complaint

The patient has been brought in by their mother who reports that they are having difficulty sleeping.

Presenting Complaint

The patient has been brought into the department after calling the ambulance and reporting bleeding from their wrists. They are only very superficial cuts to the ventral aspect of both wrists. The wounds have already been cleaned and dressed - they do not require stitches.

Presenting Complaint

The patient wants to start the combined oral contraceptive pill (21-day pill regimen). She is rather confused what it involves and has never taken something like it before.

Presenting Complaint

The patient has recently had an STI screening test which was negative for any infections but is suspicious that their partner may be cheating. They know their partner is also a patient of yours and has come to visit to ask some questions.

Presenting Complaint

The patient has been admitted to hospital with severe epigastric pain. The consultant has performed an OGD (oesophagogastroduodenoscopy) and took biopsies from their stomach for a "CLO" test. The results of the test are positive. The biopsies were sent to pathology but results will take a week to return.

Presenting Complaint

The patient has been brought into the department by their friends after collapsing while playing football in the park. The patient is currently alert but quite drowsy.

Presenting Complaint

The patient has just been brought into the department by an ambulance, looking rather pale and clammy.

Presenting Complaint

The patient has come to the department, complaining of chest pain and looks out of breath. They have been brought in by their spouse who is keen for them to be seen as soon as possible.

Presenting Complaint

The patient has come into surgery today with their mother, complaining of chest pains.

Presenting Complaint

The patient has anxiety issues and obsessivecompulsive disorder. They have been referred for CBT (Cognitive Behavioural Therapy). They are rather perplexed about what this will involve and is hoping to speak to someone about it.

Presenting Complaint

The patient has come in today with a breast lump. They would like to be seen by a female doctor and will only speak to a male doctor if he promises not to examine her.

Presenting Complaint

The patient has just been involved in a car accident where they were the driver. The car has been written off but other than a minor contusion and a fractured humerus, they are medically stable. Unfortunately, this was not the case for their partner, who was pronounced dead on arrival to hospital. The patient is unaware of the events and wishes to speak to a doctor.