Table 1.

Details of presenting symptoms of three imagined case scenarios

Scenario 1 A 54-year-old man with epigastric pain	Scenario 2 A 78-year-old woman with dysuria and frequency	Scenario 3 A 20-year-old woman with fever and rash
•   10-day history of epigastric pain and nausea •   Evolving breathlessness in the 48-h preceding presentation •   History of alcohol induced pancreatitis and ongoing alcohol excess •   Temperature 38.5 °C, respiratory rate 28 bpm, HR 115 bpm, SpO2 88% breathing air, blood pressure 94/65 mmHg •   Inspiratory crackles and epigastric tenderness were found on examination	•   5-day history of suprapubic pain and dysuria •   Evolving fatigue and dizzyness in the 48-h preceding presentation •   Temperature 39.2 oC, respiratory rate 24 bpm, HR 133 bpm, SpO2 94% breathing air, blood pressure 78/55 mmHg •   Bedside urinalysis positive for nitrite, leukocytes and blood	•   14 day history of daily fever to 39 and fatigue •   Effervescent pink rash on chest wall – non-blanching •   Increasing shortness of breath over 48 h •   Reduced urine output •   Temperature 39.5, Sp)2 93% on air, RR 30, HR 110, BP 84/65 •   History of joint pain as a child with steroid injection
Initial investigations •   White cell count 18.3 × 109/L (4–11) •   Neutrophil count 12.6 × 109/L (1.5–8.0) •   CRP 128 mg/L (0–5)	Initial investigations •   White cell count 23.9 × 109/L (4–11) •   Neutrophil count 16.5 × 109 /L (1.5–8.0) •   CRP 186 mg/L (0–5)	Initial investigations •   White cell count 31 × 109/L (4–11) •   Neutrophils 29 × 109/L (1.5–8.0) •   CRP 338 mg/L