Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 4-year-old girl attends her preschool vision screening in the year before she starts school. She is well, has no complaints, and her parents have noticed noth…
Paediatrics · Clinical rotations · middle twist
A 20-month-old boy attends for his 18-month health check in an outer suburb of Perth. He walks confidently, climbs onto the kitchen bench and opens cupboards. T…
Paediatrics · Clinical rotations · middle twist
A 17-year-old girl attends a general practice for a pre-employment medical. The Australian Immunisation Register shows she received one dose of nine-valent huma…
Paediatrics · Clinical rotations · middle twist
A 9-week-old boy has a full blood count taken when an intravenous cannula is inserted before an inguinal hernia repair. He was born at 39 weeks weighing 3300 g,…
Paediatrics · Clinical rotations · middle twist
A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…
Paediatrics · Clinical rotations · common
A 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…
Paediatrics · Clinical rotations · common
A 10-month-old girl is brought by her mother, who has noticed that in photographs taken with a flash the left pupil looks white while the right glows red. The g…
Paediatrics · Clinical rotations · middle twist
A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…
Paediatrics · Clinical rotations · common
A girl born at 28 weeks gestation is brought to the child health nurse for a routine review. She is now 5 months old by the calendar and has been home from the…
Paediatrics · Clinical rotations · common
A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…
Paediatrics · Clinical rotations · middle twist
A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…
Psychiatry · Clinical rotations · middle twist
A metropolitan mental health service is examining why Aboriginal and Torres Strait Islander inpatients leave the ward against medical advice far more often than…
Psychiatry · Clinical rotations · middle twist
A 22-year-old Aboriginal man is brought to a regional hospital by his aunt six weeks after his grandfather's funeral. At night he hears his grandfather calling…
Psychiatry · Clinical rotations · middle twist
The Australian Institute of Health and Welfare reports causes of death for Aboriginal and Torres Strait Islander children and young people. Among Aboriginal and…
Psychiatry · Clinical rotations · middle twist
A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…
Psychiatry · Clinical rotations · middle twist
A 9-year-old boy attends a child and adolescent mental health clinic for severe attention deficit hyperactivity disorder. The psychiatrist explains the risks, b…
Psychiatry · Clinical rotations · middle twist
You are the resident on a Perth adult psychiatric inpatient unit. A 41-year-old man with bipolar disorder is a voluntary inpatient and has capacity. Over one we…
Psychiatry · Clinical rotations · middle twist
A 79-year-old woman with mild Alzheimer disease is an inpatient with a severe depressive episode. Electroconvulsive therapy is proposed. An hour after the discu…
Psychiatry · Clinical rotations · middle twist
A 24-year-old man with schizophrenia has been made an involuntary inpatient at an authorised hospital in Perth under the Mental Health Act 2014 (WA) after refus…
Psychiatry · Clinical rotations · middle twist
An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…
Psychiatry · Clinical rotations · common