Other questions

Question 1

Opening statement framework? (5)

Answer 1

1. I reviewed Mrs/Mr (…), a (…) old (occupation/pertinent social issues)
2. currently admitted/presenting with (PC/suspected diagnosis or diagnostic/management problem of...)
3. this occurs in the setting of (relevant medical/social background)
4. Mrs/Mr (…)’s health/well-being is further challenged by multiple management issues pertaining to (comorbidities that make to issues list).
5. Finish off with the main barrier: In particular, I am concerned about (e.g. insight, adherence, social issues or main medical issues/risks)

Question 2

Closing statement framework?

Answer 2

• In Summary,
• Mr/Mrs X is … current status (e.g. recovering from … Acute problem or Chronic problem)
• This patient’s main problem is …
• In addition he faces the ongoing diagnostic / management problem of … that I would like to discuss today.
• I’ve identified … issues

Question 3

Problem with using beta-blockers in young male and female?

Answer 3

Erectile dysfunction - they will avoid it for years

A lot of lethargy in young female.

Question 4

How would you manage this patient’s poor insight into prognosis?

Answer 4

Rapport

Educate

Follow-up closely really they understand implications of disease

It is a long journey

Picturing grim prognosis maybe helpful (e.g. risk of ending up in dialysis