Another doctor's patient
This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage another doctor's patient — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a 50-year-old woman whose confident manner implies a person not to be trifled with. Her records show a long list of mixed physical and psychological complaints, including hypertension, osteoporosis, asthma, menopausal symptoms, anxiety and depression. All she wants this time is a further supply of her salbutamol inhaler and her Valium. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.