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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Sylvia Trent
Age: 68 years
Gender: Female
Reason for Appointment
Sylvia Trent, 68, booked: "waterworks — finally getting it seen to". Nurse note: has been buying pads for two years.
Medical History
Past Medical History
Hypothyroidism. Three vaginal deliveries. Nil else significant.
Drug History
Levothyroxine 100 micrograms OD. No other medication. No allergies.
Examination & tests (nurse continence clinic, last week)
Seen by the practice nurse last week: urine dip negative; BMI 29; BP 134/82; abdomen soft, no masses. Pelvic examination (nurse, with consent): mild anterior wall laxity, no significant prolapse; no voluntary pelvic-floor squeeze — she cannot locate the muscles.