Fillers A memorable patient

The giggly girl

BMJ 2005; 330 doi: (Published 02 June 2005) Cite this as: BMJ 2005;330:1313
  1. Sundaram V Ramanan, attending physician (
  1. St Francis Hospital, Hartford, USA

    To prepare for the short cases of the MRCP examination, candidates oftenseek the help of their successful predecessors, usually registrars or senior registrars, who select patients agreeable to being examined. That was howI met the “giggly girl.”

    “You'll find Susan in the day room,” the registrar said to me. “She's a friendly sort and will let you examine her. Look at her optic fundi and tell me what you think.”

    I walked down the ward and introduced myself to Susan, a cheerful young woman in her 20s. “May I examine your eyes?” I asked.

    “Of course, doctor,” she replied, and gave a little laugh. Although I had been asked to examine only the fundi, I thought a quick review of the cranial nerves, including visual acuity and fields, might help. I detected no abnormality, and, adjusting my ophthalmoscope, I bent down to …

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