Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…
Acute Care · Clinical rotations · common
A 46-year-old warehouse worker has had low back pain for three weeks since lifting a pallet. For the past two days the pain has run down both legs to the feet.…
Acute Care · Clinical rotations · common
A 31-year-old man is brought in after his utility vehicle struck a tree at speed. He is pale and cold and speaks in short phrases. Heart rate 132/min, blood pre…
Acute Care · Clinical rotations · common
A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where…
Acute Care · Clinical rotations · common
A 22-year-old man stood on a garden fork while digging; a tine passed through his boot into the sole of his right foot. The wound is a 3 cm deep puncture with s…
Acute Care · Clinical rotations · common
A 24-year-old woman rolled her right ankle landing awkwardly at netball two hours ago. She took four steps immediately afterwards and can take four steps now, l…
Acute Care · Clinical rotations · common
A 32-year-old woman is brought in after her car left the road and struck a tree at speed. She is alert and cold to touch. Blood pressure 84/52 mmHg, pulse 126/m…
Acute Care · Clinical rotations · common
A 58-year-old man walks up to the triage desk of a metropolitan emergency department. He says a heavy tightness spread across the front of his chest while he wa…
Acute Care · Clinical rotations · common
An 84-year-old woman is brought to the emergency department after tripping on a rug at home. Radiographs of her wrist and hip show no fracture. She has not been…
Acute Care · Clinical rotations · common
A 62-year-old man collapses in the emergency department waiting room. He is pulseless and the monitor shows ventricular fibrillation. Chest compressions are in…
Acute Care · Clinical rotations · common
A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…
Gastroenterology and Hepatology · Clinical rotations · common
A 63-year-old man is admitted with fever, hypotension and rapidly progressive cellulitis of the forearm. He had been licked on an excoriated hand by his daughte…
Emergency and Toxicology · Clinical rotations · common
A 21-year-old university student notices yellowing of his eyes after several days of restricted food intake during examinations. He is otherwise well and has no…
Gastroenterology and Hepatology · Clinical rotations · common
A 24-year-old woman with asthma remains breathless after repeated nebulised salbutamol and ipratropium, intravenous hydrocortisone and oxygen. She can speak onl…
Respiratory · Clinical rotations · common
A 78-year-old woman becomes agitated and repeatedly pulls at her intravenous line on the second night after hip surgery. She alternates between asking where she…
Geriatrics and Palliative Care · Clinical rotations · common
A 29-year-old man is brought in shortly after his partner administered naloxone for suspected heroin overdose. He is yawning repeatedly, has abdominal cramps, d…
Emergency and Toxicology · Clinical rotations · common
A 46-year-old man is found vomiting beside an open container of an automotive fluid. He has tachypnoea, flank pain and oliguria; arterial blood gas analysis sho…
Emergency and Toxicology · Clinical rotations · common
A 24-year-old woman is brought to the emergency department after drinking approximately 8 L of water during a long-distance event. She is drowsy and has a serum…
Neurology · Clinical rotations · common
A 68-year-old man with chronic kidney disease presents with weakness after spironolactone was added to his medicines. His serum potassium is 7.0 mmol/L (3.5–5.2…
Cardiovascular · Clinical rotations · common
A 74-year-old man is referred after three falls over two months. He describes a brief feeling of faintness after rising from a chair, without spinning sensation…
Geriatrics and Palliative Care · Clinical rotations · common