Presenting Complaint Exam

Content

"A Tired Lady"

Welcome to the CHEC-CESC Virtual Patient Case - A Tired Lady

This case is designed for medical students and PGY1 in Family Medicine. We hope that you will enjoy the learning process through simulation.

Intended learning outcomes

By the end of the virtual patient simulation, the learner should be able to:

  1. Identify the different etiologies of fatigue.
  2. Identify the pertinent questions needed to diagnose a patient who presents with fatigue.
  3. Demonstrate the skills needed to interview a patient that presents with a vague complaint such as fatigue and narrow in on the potential causes and appropriate management.
  4. Demonstrate the incorporation of electronic medical records (EMR) in patient care.
  5. Demonstrate the use of online resources (ie criteria and clinical management) that can be used in patient care.
  6. Demonstrate effective management skills through the judicious and cost-effective use of tests and resources.

Instructions

Please read through the instructions in the virtual patient case. Points will be added or deducted according to your selection of questions or actions, as well as cost estimates. You should take a focused history and physical to reach a diagnosis in the most efficient and cost-effective way. Don't skip over pertinent questions even if you think you know the diagnosis!

This case is designed as an outpatient case in a family physician's office. It incorporates the use of EMR.

You will receive feedback at the end of the case, together with some electronic resources to help you consolidate your learning from the simulation.

We hope that this case will stimulate your thinking, help you plan your further learning, and most importantly, prepare you for real patient care... all in a fun and interactive way!

Now, let's get started... Play

Case authors and supervisors

This case was created by Dr. Gillian Lindzon, resident in the Department of Family and Community Medicine at the University of Toronto, and supervised by Dr. Marcus Law from the Department of Family and Community Medicine.

This case was created with the Virtual Interactive Case (VIC) System (http://pie.med.utoronto.ca/vic) developed by the Perioperative Interactive Education team in the Department of Anesthesia and Pain Management at Toronto General Hospital.

Creative Commons License CC BY-NC-SA 2.5) http://creativecommons.org/licenses/by-nc-sa/2.5/ca/