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Case notes in, and a presentation, ranked differentials, consultant questions and a next-day follow-up out.
Bed 12
58 · M · Day 1
PresentThinkDefend
60-second version
0:58Identification
58-year-old man, known diabetic and hypertensive.
Presenting
Fever 5 days, cough 3 days, breathless since yesterday.
Findings
Temp 101.4°F · PR 108 · RR 26 · SpO₂ 91% RA.
Assessment
Consistent with an infective lower respiratory process.
ListenPractise
Four things, every case.
Differentials, ranked with reasons
What fits, what argues against, what settles it.
Questions, before they come
8 to 12 consultant questions, built from your case.
Follow-up for day two
What changed overnight, and what to say about it.
Think. Defend. Five minutes.
Bed 12
Think
Ranked differentials
- 1
Community-acquired pneumonia
- 2
Pulmonary tuberculosis
- 3
Acute bronchitis
Settles it
Chest radiograph: presence and extent of consolidation.
Respiratory exam not recorded. Assessment held open.
Investigations
Chest X-ray · CBC · Sputum AFB · Blood glucose
Open Cross-Fire
Think
Cross-Fire
8 questions loaded
Diagnosis
What in the history took you to pneumonia first?
Examination
Which lobe, and what sign told you before the film?
Investigation
Why no sputum for acid-fast bacilli yet?
Severity
How did you score severity, and what would change where he is managed?
Start practice viva
Cross-Fire
5 minutes
Bed 12 · compressed
Patient
58 · M · DM, HTN · fever 5d, cough 3d
3 findings
Fever 5 days · SpO₂ 91% · RR 26
3 differentials
CAP · Pulmonary TB · Acute bronchitis
3 investigations
Chest X-ray · CBC · Sputum AFB
Likely first question
What in the history took you to pneumonia first?
Read aloud
Quick Round
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60sec presentation
3min long form
8–12consultant questions
4consultant personas
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