Station 61
Amanda Bush
Age: 47 years old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Amanda, aged 47. You have booked this consultation to discuss some new symptoms that have developed over the past two months. You have been experiencing excessive sweating, particularly noticeable at night, alongside persistent fatigue and unintended weight loss.
Symptoms Detail (Only disclose if asked):
The sweating occurs both during the day and most nights, often soaking your clothes and bed sheets. The fatigue is constant and does not improve with rest or sleep. You have lost approximately 5 kg over the last two months without any changes to your diet or activity levels.
You’ve had intermittent episodes of a racing heartbeat during this time, but you attribute this to your anxiety, even though you haven’t felt particularly anxious recently.
Menstrual and Hormonal History: You are currently taking the combined oral contraceptive pill (Rigevidon), and your periods remain regular and controlled. You have not experienced hot flushes, vaginal dryness, or any changes in your menstrual flow.
Social and Family History: You work full-time as a teacher and enjoy your role but have been feeling increasingly tired during the day. You do not smoke or drink alcohol. Your mother went through an early menopause. There is no family history of cancer or other significant medical conditions.
Ideas: You think the symptoms might be related to menopause.
Concerns: You’re worried about the possibility of early menopause, like your mother experienced, and the symptoms are beginning to affect your work as you feel tired all the time.
Expectations: You would like to have some blood test to check if you are going through menopause.
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.