Case 5 - Georgina
You see 53-year-old Georgina as an urgent presentation with chest pain. She has changed her medical record details with the surgery and recently begun the process of medically transitioning to a female gender identity.
Although she gave up smoking before starting HRT, there are risk factors for cardiovascular disease. You decide she needs to go to hospital for further investigation as you suspect acute coronary syndrome. You are aware that the troponin reference range is sex specific.
In composing a handover letter for the A&E Registrar, you will need to:
revert to birth assignment as relevant for hospital blood testing
Incorrect
assume pronouns are ‘she/her’ given that she presents in a feminine way
ask permission to include reference to birth assignment, explaining why this is relevant in this scenario
Correct
confidentially mention their trans status to the paramedic but not put this into the written handover
Incorrect
E, B and D
Incorrect