Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Edna Whitfield
Age: 79 years
Gender: Female
Reason for Appointment
Recurrent falls at home: 3 falls in 6 months, most recent yesterday in the kitchen.
Medical History
Past Medical History
- Hypertension
- Osteoporosis
- Depression
- Bilateral cataracts
- Gastro-oesophageal reflux disease
- Chronic kidney disease stage 3a
- Mild hearing loss
Drug History
- Amlodipine 10 mg OD
- ramipril 5 mg OD
- indapamide 2.5 mg OD
- atorvastatin 40 mg ON
- alendronic acid 70 mg weekly
- AdCal-D3 BD
- esomeprazole 20 mg OD
- citalopram 20 mg OD
- zopiclone 7.5 mg PRN at night
Examination & Recent Results
- Lying BP 110/65; standing BP 95/60 with symptomatic postural drop
- BMI 21; weight down 3 kg over the year
- eGFR 64 mL/min/1.73m² (>90)
- DEXA 2 years ago: T-score −2.8 (reference ≥ −1.0)
- Reduced visual acuity; glasses 4 years old; cataracts on waiting list
Family History
Mother had Alzheimer's disease in her 80s. Father MI age 72.