Chest tightness that is not settling
AMC Clinical practice station
History taking · 2 min to read · 8 min to perform
Try a real conversation · AMC ClinicalAI practice
Take a focused history.
Priya RamanHello doctor. I have a tight feeling in my chest and it has not really gone away, but I am sure it is nothing much.
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Open the full station (charts, voice, result letter) →The task
You are a general practitioner. Mrs Priya Raman, aged 56, has come to your clinic because of chest discomfort. She is alone. Take a focused history. Then tell her what you think may be happening, what needs to happen next and why, and what she should do if things change. There is no need to examine her. The examiner will not take part in the conversation.
What this station tests
- Exertional chest tightness that is getting worse and now occurs at rest needs emergency hospital assessment.
- Diabetes, high cholesterol and a father with an early heart attack raise the likelihood of a cardiac cause.
- Check allergy and bleeding risk before advising aspirin, and say why you are giving it.
- Do not let a patient with possible acute coronary syndrome drive herself; call 000 and stay with her.
- Say clearly what worries you without claiming a diagnosis you cannot confirm.
Sources for the clinical content
- Heart Foundation: Australian guideline for acute coronary syndromes
- Australian Commission on Safety and Quality in Health Care: Acute Coronary Syndromes Clinical Care Standard
- Triple Zero emergency call information (000)
- Medical Board of Australia: Good medical practice, a code of conduct for doctors in Australia
An original practice scenario with invented patients. Not an exam question.