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Case 60 · Steve, 54
Data Gathering
00:00 / 06:00
Clinical Mgmt
00:00 / 06:00
Interpersonal skills — assessed throughout the consultation
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Patient
Steve Tanner
Case 60
Age
54
Gender
Male
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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Steve Tanner
Age: 54 years
Gender: Male
Reason for Appointment

Telephone triage call, booked by reception as: "indigestion since this morning, wants something stronger — asking about an appointment later this week".

Medical History
Past Medical History

Steve Tanner, 54: type 2 diabetes (metformin), hypertension. Smoker — 20/day recorded last year. Rarely attends; last seen 18 months ago.

Drug History

Metformin 500 mg BD; ramipril 5 mg OD (collected erratically). No drug allergies recorded.

Records summary

Last recorded (18 months ago): BP 148/92, HbA1c 61 mmol/mol, BMI 31, QRISK3 28% — statin offered and declined.