Beth

General Practice Clinic (patient accompanied by her daughter Maria)

A 74-year-old woman brought in by her daughter with a 6-month history of low mood, anhedonia, biological symptoms of depression and passive suicidal ideation following bereavement, with mood-congruent somatic (cancer) and poverty delusions. Working diagnosis is a major depressive episode with psychotic features in an older adult; complex bereavement, organic causes (dementia, delirium, Parkinson's, stroke) and bipolar disorder must be considered.

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Data Gathering

Take a comprehensive history, perform examinations, and order investigations.

Clinical Reasoning

Formulate a diagnosis, consider differentials, and synthesise evidence.

Clinical Decision Making

Explain your diagnosis, recommend treatment, and arrange follow-up.

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