Scenarios

1. 1

   Focused history: severe headache

   Take a focused headache history, screen for dangerous causes, review prior episodes and medicines, and address discomfort while explaining clinician assessment.

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2. 2

   Focused history: recurrent dizziness

   Clarify dizziness timing and triggers, screen for weakness and other urgent symptoms, and explore falls, work, and transport safety before explaining assessment.

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3. 3

   Focused history: recurring right-hand numbness

   Map numbness and weakness, explore timing, triggers and daily impact, check warning symptoms, and explain possible causes and supervised evaluation.

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4. 4

   Urgent collateral history: facial droop and speech loss

   Activate urgent team assessment, establish when the patient was last seen well, clarify witnessed symptoms, and support the spouse during a brief handover.

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5. 5

   Collateral history: progressive memory concerns

   Ask a spouse about memory, daily function, and safety changes, acknowledge caregiver concerns, and explain the need for direct patient assessment.

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6. 6

   Consult: neurology after a first convulsive event

   Describe the witnessed event and recovery, communicate safety concerns and missing information, request evaluation, and confirm responsibilities and escalation.

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7. 7

   Consent: lumbar puncture

   Explain lumbar puncture benefits, risks, alternatives and aftercare, address the patient’s fears, check understanding, and support a voluntary decision.

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