Medical Ethics Autonomy Beneficence NON Maleficence Justice — Clinical Case

DCE Long Case

Patient brief

Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Medical Ethics Autonomy Beneficence NON Maleficence Justice. [1]

Presenting complaint: Subacute or acute symptoms referable to Medical Ethics Autonomy Beneficence NON Maleficence Justice, with enough detail to force prioritisation. [1] [2]

Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]

Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]

Examination: Key positives and critical negatives for dangerous differentials. [1]

Investigations: A small set of results that change management. [1] [2]

Tasks

1. Present a prioritised problem list. [1]
2. Defend investigations and immediate therapy. [1] [2]
3. Provide safety-net and follow-up advice. [2]

Model discussion points

• Working diagnosis and acuity. [1]
• Differentials and discriminators. [2]
• Treatment sequence and monitoring. [1] [2] [3]
• Multimorbidity and communication. [2]