Amanda Richardson

You are a GP FY2 working in Tooting. Your Monday morning clinic is already over-running, and you are yearning for your lunch. Your last patient of the morning is Amanda Richardson, a lady not well known to the surgery. You pull up her scanty medical record:

• Amanda Richardson

• Age 41

• Occupation - Unknown

• Smoking - Yes 10/day

• Alcohol - Yes 30 units/week
  

Recent consultations:

• 1 year ago - Back pain

• 3 years ago - Evaluation for depression - started on SSRI antidepressant

Medications:

• Paracetamol PRN - Backpain

• Diclofenac PRN - Backpain

• Fluoxetine 40mg OD - Depression