Exercise-induced bronchoconstriction — structured clinical encounter

Station brief (candidate)

You are the paediatric registrar in a general clinic. A 10-year-old girl is referred because she coughs and wheezes when she plays sport and has begun to avoid it. Her symptoms start a few minutes into a game, are worst just after she stops, and settle with rest over about half an hour. She has eczema and coughs at night in winter. Her chest is clear today. The team asks you to confirm the diagnosis, control any underlying asthma, build the exercise plan, and counsel the family. You have 12 minutes with the family and 5 minutes for examiner discussion. ^[3]