Thought I'd start a thread for people to share some clinical vignettes. So the idea is to pitch a short presenting complaint and other posters will ask additional questions to elaborate the history and examination findings, request investigations, form a differential and suggest a plan etc.
A few rules:
If you think you've got the case sussed, post it in a [ spoiler] [ / spoiler ] so that other posters can continue to reason the story out.
If you want to request an investigation, try to justify why you've ordered it and what you are expecting to find. Unjustified requests will be bounced back by the disgruntled lab/radiologist.
Finally, don't turn the thread into a ****storm, as they have done in the past.
Ok, here goes:
Patient VM: A 62yr old man presents with a three week history of back pain. He also complains that he is having to void his bladder more than usual and 'just doesn't feel his usual self'.
You're also given a set of basic obs:
BP: 142/85, HR: 78, o2: 98, T: 37.3, RR: 12
Anyone want to start?