Simulated Patient Brief — JAMIE (Viral URTI)
Location: General Practice. History only — no examination. Answer in the negative to any specific question not covered below.
- Name
- Jamie
- Age
- 32 years
- Opening statement
- “I’ve had a sore throat, runny nose and a cough for 5 days and it’s not getting better. I think I need antibiotics.”
Generally unwell for 7 days and not getting better. Dry cough and runny nose started 7 days ago; sore throat for the last 3 days. Mild fatigue and muscle aches; no fever or chills. Symptoms improved after a few days then stalled. Paracetamol and throat sweets do not last long. Throat hurts when talking or swallowing but you can still eat and drink. A little short of breath but still managing normal activities.
Response to questions
- Open questions: timeline of coryza, cough and sore throat; request for antibiotics.
- Closed questions: no fever, still eating and drinking, no haemoptysis, no chest pain. Systems review otherwise negative as scripted.
Ideas: Thinks you need antibiotics because it has not got better.
Concerns: Worried it will not get better.
Expectations: Want antibiotics to get rid of the infection faster.
- No past medical history
- No regular medications
- NKDA
- Mum has hay fever; dad has diabetes — both still alive
Primary school teacher. Lives with husband and two cats. Occasional alcohol — about half a bottle of wine a week. Gym 3 times a week — not this last week.
Systems review: reply in the negative to any other symptoms.