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Case 65 · June, 74
Data Gathering
00:00 / 06:00
Clinical Mgmt
00:00 / 06:00
Interpersonal skills — assessed throughout the consultation
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Patient
June Aldridge
Case 65
Age
74
Gender
Female
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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: June Aldridge
Age: 74 years
Gender: Female
Reason for Appointment

Follow-up after Colles' fracture (fall from standing height, 6 weeks ago). Fracture clinic letter: "fragility fracture — please assess bone health and treat as indicated". DEXA completed last week.

Medical History
Past Medical History

Colles' fracture right wrist 6 weeks ago (cast removed). Gastro-oesophageal reflux.

Drug History

Omeprazole 20 mg OD. Paracetamol PRN for the wrist. No allergies.

DEXA & bloods (last week)

DEXA (last week): lumbar spine T-score −2.9, femoral neck −2.4 — osteoporosis. Bone profile, TFTs and coeliac screen normal; vitamin D 41 nmol/L (insufficient). BMI 20.