A 34-year-old man with six weeks of cough and haemoptysis
A branching clinical case simulation for a patient presenting with six weeks of cough, night sweats, weight loss and haemoptysis. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 4medium20 min6 stages
- Patient
- 34 years, male
- Presenting complaint
- Six weeks of cough, night sweats, weight loss and haemoptysis
- Decision stages
- History, Examination, Investigations, Diagnosis, Treatment
The presentation
You are an FY4 on a busy general medical take in a district general hospital. A 34-year-old man from a high-incidence country is in ED with a six-week history of cough, night sweats, weight loss and haemoptysis. He is currently in a cubicle. He is clinically stable but looks anxious. What do you do?
What this case teaches
Suspect pulmonary tuberculosis; isolate and protect staff; send sputum for microscopy, culture and molecular testing; start quadruple therapy with the right baseline tests; notify public health.
How the case unfolds
- 1Immediate priorityHistory
- 2Key history questionsHistory
- 3Physical examinationExamination
- 4Initial investigationsInvestigations
- 5Interpreting test resultsDiagnosis
- 6Baseline tests and public healthTreatment
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
Log in to run "A 34-year-old man with six weeks of cough and haemoptysis"
A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.