Station 90
Richard Palmer
Age: 61 year old male
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Richard Palmer, a 61-year-old male.
Opening Statement: “Hi doctor, I would like to request a prescription for a medication I was given at the out-of-hours service called colchicine. Could you please provide me with this?”
If asked to explain further: You are calling because your right big toe is still painful, even after finishing a 3-day course of colchicine that urgent care gave you. The swelling has gone down a bit, and you can now bear weight, but it still hurts, especially when you walk. You have no fever, and you feel well in yourself.
You experienced diarrhoea for the last 2 days, which you later discovered is a known side effect of the medication. The diarrhoea has now settled.
You have not had any previous episodes of gout prior to this one. You are now wondering whether you need more colchicine for pain relief. You are also keen to know what can be done to prevent future attacks.
Social History: You do not smoke or use recreational drugs. You occasionally drink alcohol, mainly beer at weekends, although not every weekend. You eat red meat regularly. You live with your wife and work as a postman. You have been off sick for the past 3 days due to the pain but are eager to return to work soon as you enjoy your job.
Ideas: You suspect that the gout flare has not fully resolved and may need further treatment.
Concerns: You have been off work for 3 days and are keen to return as quickly as possible.
Expectations: You hope for additional colchicine or a stronger painkiller to completely resolve the current symptoms. You are also interested in finding out if there is a treatment that could help prevent future flares.
Say NO to any other questions outside of the details already provided.