Common things occur commonly Do what you would do in everyday practice Being thorough is better than being clever
How would you manage this patient?
Assessment o History in order o Physical examination in order o Investigations in order (see below) Working diagnosis + differential diagnoses Treatment Investigations Bloods o Biochemistry U+Es, LFTs, Glu, TFTs, CRP, Ca, XOL o Haematology FBC, ESR, coagulation o Immunology Radiology o X-ray, CT, MRI, nuclear Electrical o ECG, ETT, EEG, EMG Microbiology o Microscopy, culture + sensitivity Pathology Other o Endoscopy