Brian CARLISLE
17
single
– painful rash on face for 10 days
– started with pimples over forehead & cheeks then spread to right side of face
– no weight loss
– no headaches, dizziness, photophobia, fever or chills
– amoxicillin-clavulanic for 8 days
– trimethoprim-sulfamethoxazole
no
FBC
Patrick DWERRYHOUSE
35
single
– feverish after trip abroad 2 weeks ago
– spent 3 weeks in Gabon
– had yellow fever shot + antimalarial drugs for 3 weeks + 1 after return
– no cough, no headaches
– watery stools
– no vomiting
– never used injectable recreational drugs
– sexual contacts abroad
blood tests
Adam CUMMINGS
45
steady fever for a couple of days (101°F = 38.4°C), no chills
– started coughing before fever
– phlegm without streaks of blood
– chokes when coughs
smokes
blood tests
syrup in the meantime
John COLLINGWOOD
21
vomited after party
– has alcohol 4 times/month
– 4-5 drinks each time
– 6 or more once a month
– felt not able to stop: monthly
– felt unable to remember what happened the night before: less than monthly
– no injure to himself or other…yet
social drinking & binge drinking are very harmful habits, get help to quit
Godfrey NORTHROP
61
– fever
– difficulty breathing for a week
– knees & ankles painful
– lost 10 pounds (4.5kgs) over 2 months
– 80 pack-year history but stopped smoking
– ATBs for a week
– OTC painkillers
– Temp: 38.6°C (= 101.4°F)
– Pulse: 100bpm
– BP: 110/70
– Respiration: 26 breaths/min
– Deceased breath sounds in right lung base+ scattered fione rales
– Heart sounds: reg. without murmurs, rubs or gallops
– Abd.: no tenderness or masses
– Finger clubbing
– No evidence of pedal edema, joint swelling, erythema, joint tenderness
– No skin rashes
– Lab tests
– Chest X-Ray
– Hospitalisation for further investigations
Dialogues extraits de How Can I Help You Today?,
F.Pastore Ellipses 2015- ISBN 9782340005921
Listen to the dialogue. When you have finished click on the question to see the answer.
Enregistrer
1/ Dermatology ![]() |
2/ Infectious diseases![]() |
3/ General medicine![]() |
4/ Emergency medicine![]() |
5/ Respiratory medicine![]() |