Is it just me or most people completely missed the point and focused more on the history. The question says assess and manage. You already have the Chest X-ray and MEWS. I think the proper approach will be to approach it like a follow-up station i.e. - Introduction = GRIPS - "I can see here that you were asked to do a chest X-Ray for which we have the results. However, is it okay if i ask a few questions to have a bit more context before we discuss the results? - Brief Focused hx of the cough + Social hx (smoking, occupational exposure) - Discuss results and what they mean + Discuss MEWS - Discuss management plan - Admit, Oxygen, IVF, Broad spectrum antibiotics, Investigations (Baseline & Specialized) - 60 year old man, so ask about Family / Contacts / support system - Review with Seniors - Answer any questions the patient may have. -Thank the patient. Please correct me if i am wrong.
