You have been asked to see this 65 year old patient named Michael West during your evening clinic in general practice. He has been complaining of this ongoing cough which has been affecting his work.
Take a focused history
In the final minute, answer any question from the examiner
65 years old
You are a 65 year old male who has come into your GP surgery after noticing this cough for the past 2 years which has worsened in the last month. It has mostly been a dry cough but more recently you noticed you are bringing up a thick green mucus, you deny any blood in the cough. If asked when the cough is worse, it's in the mornings, you deny cough is worse at night. The cough is getting worse and is now affecting your work and you are having to do COVID PCR test before you come into work so the site knows it is safe for you to continue working. You deny any chest pain, however, you have noticed you are getting more short of breath recently, particularly when you are walking for too long. You do not need any pillows to help you sleep and you have never woken up gasping for air.
You deny any other symptoms.
You believe this might be another chest infection and expect to be treated with antibiotics because that always does the job.
Past Medical history
Past Surgical history
Tonsillectomy in 1994
Current smoker, a pack a day for 45 years
8 units weekly - Beer
Hypertension in Mum
Diabetes in Brother aged 58
History of presenting complaint
Past Medical History
Answer examiner question
Ask in final minute