Bob Ray

A 65-year-old retired accountant presents to your GP clinic with progressive shortness of breath, orthopnea, and ankle swelling. Focus on taking a thorough history, performing a clinical examination, and ordering appropriate investigations.

1. 1Take a comprehensive history including presenting complaint and associated symptoms
2. 2Screen for cardiovascular and respiratory red flags
3. 3Explore past medical history, drug history, social history, and family history
4. 4Verbalise a focused cardiorespiratory examination
5. 5Order and justify appropriate investigations