Station 65
Sophie Johnson
Age: 10 years old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Emily Johnson, the mother of Sophie Johnson, a 10-year-old girl. You’ve arranged this telephone consultation to discuss Sophie’s ongoing tummy pain, which has been happening for the past six months.
If asked to explain further:
Sophie experiences episodes of tummy (abdominal) pain every 2 to 3 weeks. Each episode typically lasts a few hours to a full day.
The pain is located in the centre of her tummy and feels cramping or aching.
She sometimes feels slightly nauseous during these episodes, but she has never vomited.
You’ve noticed that these episodes tend to occur after Sophie eats dark chocolate, which she loves.
Sophie is otherwise well, happy at home, and doing well at school. She hasn’t missed school because of the pain.
Social History: Sophie lives at home with you, your husband, and her two older sisters, who are also well.
Family History: You (her mother) have a history of migraine headaches.
Ideas: An A&E doctor recently mentioned abdominal migraine as a possible cause, and you’re wondering if that could be the diagnosis.
Concerns: You’re concerned about Sophie being in pain and want to know if she needs treatment.
Expectations: You would like to confirm whether this is abdominal migraine and understand how best to manage it moving forward.
Questions for the Doctor:
Will she go on to develop migraine headaches in the future?
Could this be irritable bowel syndrome (IBS)?
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.