Note to actor:Try to restrain yourself from volunteering to much information – you may do so when prompted (that is, by a specific question, not a general one). If a student is on the wrong line of clinical reasoning do not fuel this line of thinking, state no to the question as being ambiguous may prompt further questioning and does not allow the student to be appropriately tested. The aim of the exercise is to take a focused history; short answers are required.
You are a 60 year old alcoholic. You have been vomiting for the past hour. You have last had alcohol 3 hours ago and have only stopped because of the vomiting. You say to the doctor “I’m fine, I just need a cider.” You drink roughly 20 ciders per day, everyday for the past 30 years.
You have been taking ibuprofen for pain relief for the past couple of weeks.