Nb
PARTB
Make notes about the consultation under each of the headings below. Give as much
information as you can about each of the particular points mentioned.
Patient’s name: John Dickson Age: 27 years
Details of incident in which the patient was injured (date, patient’s occupation at
the time, circumstances, immediate symptoms, immediate action taken by the patient,
etc)
Details of current symptoms
Details of period between accident and hospitalisation (visits to doctor, tests, work
situation, factors precipitation pain, etc. )
Page 7Details of first operation (how long afier accident, nature of operation, results of
operation, patient’s feelings, etc. )
Details of second operation (how long afier first operation, results of operation, etc.):
Social history (details of financial support, work situation, home situation, social life,
etc. )
Details of current medication
Patient’s future as discussed by Dr Smith (speed and chances of improvement,
possible extent of improvement, etc. )
Page &