Scenarios

1. 1

   Focused history: fatigue and anemia

   Explore fatigue, menstrual and other bleeding, diet, and absorption problems to identify information needed for a supervised anemia assessment.

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2. 2

   Focused history: anemia with rheumatoid arthritis

   Explore fatigue, inflammation, medicines, bleeding and other warning symptoms, then summarize possible causes of anemia and supervised next steps.

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3. 3

   Focused history: new bruising and lower-leg rash

   Assess bruising, bleeding, and urgent symptoms, review medicines and possible contributing illnesses, and explain the need for prompt clinician assessment.

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4. 4

   Focused history: painless neck lump

   Characterize a neck lump and its progression, ask about fever, night sweats, weight loss, and bleeding, and review relevant risks.

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5. 5

   Focused history: persistent mid-back pain

   Characterize persistent back pain and prior treatment, ask about weakness, numbness, and other warning symptoms, and explain why further assessment is needed.

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6. 6

   Focused history: fatigue with a smoking history

   Explore worsening fatigue and function, ask about breathing and other warning symptoms, review smoking and other exposures, and explain assessment needs.

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7. 7

   Consult: hematology for an incidental low platelet count

   Present the platelet trend and bleeding history, explain current urgency, request workup advice, and agree on testing and follow-up responsibilities.

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8. 8

   Consent: blood transfusion

   Explain transfusion benefits, risks and alternatives, address blood-supply concerns, check understanding, and support an informed choice with continued care.

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9. 9

   Oral presentation: fatigue and breathlessness admission

   Synthesize fatigue history and chart findings, explain your assessment and current severity, and present a supervised treatment and follow-up plan.

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10. 10

    Oral presentation: fatigue and heavy menstrual bleeding

    Present a focused clinical summary, interpret chart findings with appropriate uncertainty, identify safety concerns, and distinguish completed treatment from pending work and plans.

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11. 11

    Oral presentation: fatigue and weight loss

    Synthesize the history and chart findings, explain diagnostic uncertainty, identify safety concerns, and distinguish completed care from pending evaluation and proposed plans.

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