Scenarios

1. 1

   Focused history: chronic knee pain

   Compare knee pain and stiffness patterns, ask about function and treatments, and screen for concerning symptoms before summarizing the patient’s goals.

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2. 2

   Focused history: acute back pain after lifting

   Characterize back pain and its effect on function, compare pain patterns, and ask about weakness, numbness, and other symptoms needing assessment.

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3. 3

   Focused history: persistent hand pain and stiffness

   Map painful and stiff joints, compare activity and rest patterns, ask about symptoms beyond the joints, and explore daily-life impact before explaining assessment.

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4. 4

   Focused history: sudden big-toe pain

   Take a focused history of sudden toe pain and swelling, screen for infection risks, and explain why urgent assessment is needed.

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5. 5

   Focused history: painful swollen knee with fever

   Request urgent assessment, take a brief history of a painful swollen knee, and ask about fever, other symptoms, and infection risks.

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6. 6

   Back pain with an unexpected warning feature

   Explore the history and recognize when symptoms do not fit the initial explanation.

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