Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 24-day-old girl is brought to the emergency department after her mother measured an axillary temperature of 38.3°C at home. She was born at term after an unco…
Paediatrics · Clinical rotations · common
A 15-month-old boy presents with two days of vomiting and frequent watery stools. He is alert but subdued, with dry lips, mildly sunken eyes, heart rate 148/min…
Paediatrics · Clinical rotations · middle twist
An 18-month-old boy wakes at 2 am with a harsh, barking cough and noisy breathing and is brought to the emergency department. He has had a runny nose for two da…
Paediatrics · Clinical rotations · common
A 9-month-old girl is brought to the emergency department with three days of runny nose and moist cough, and one day of fast, noisy breathing. She is taking abo…
Paediatrics · Clinical rotations · common
A 78-year-old woman presents with sudden painless loss of vision in her right eye on waking this morning. For the past three weeks she has had a right-sided hea…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist
A 66-year-old woman is brought to the emergency department at 9 pm with severe right-sided headache, nausea and repeated vomiting that began while she was watch…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 48-year-old man who migrated from southern China ten years ago presents with six weeks of a blocked sensation and reduced hearing in the right ear. On several…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist
A 23-year-old man presents with a five-day history of worsening sore throat, and swallowing has become so painful that he is spitting his saliva into a cup. His…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 72-year-old woman presents with an ulcer above her left medial malleolus that has been present for eight weeks. She has type 2 diabetes and smoked a packet of…
Cardiovascular · Clinical rotations · middle twist
A 74-year-old woman presents with severe pain in her left leg that began abruptly two hours ago while she was sitting watching television. She walks to the shop…
Cardiovascular · Clinical rotations · common
A 14-year-old boy is brought to the emergency department after waking at 5 am with sudden severe pain in the left side of his scrotum, and he has vomited twice.…
Paediatrics · Clinical rotations · common
A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 45-year-old woman presents because a mole on her calf has become darker and larger over three months. It is 8 mm across with an irregular edge and several sha…
Dermatology · Clinical rotations · middle twist
A 78-year-old man presents with three weeks of redness, warmth and itch affecting both lower legs. He is otherwise well, with long-standing varicose veins and a…
Dermatology · Clinical rotations · common
A 34-year-old man presents with five days of fever, drenching sweats, severe headache behind the eyes and aching muscles. He started work at a rural Queensland…
General Practice and Population Health · Clinical rotations · middle twist
A 24-year-old woman of Greek background is found to have abnormal results on a pre-employment blood count. She feels well, her periods are not heavy, and she re…
Haematology and Oncology · Clinical rotations · common
A 76-year-old woman taking warfarin for atrial fibrillation attends for a routine INR check, which returns at 11.0 (target 2.0–3.0). She recently completed a co…
Cardiovascular · Clinical rotations · middle twist
A 68-year-old man presents with three months of increasing tiredness and breathlessness climbing stairs. He eats a mixed diet, takes no regular medications, and…
Gastroenterology and Hepatology · Clinical rotations · common
A 41-year-old woman presents nine hours after the onset of a severe headache that struck like a blow to the back of the head while she was lifting weights and r…
Neurology · Clinical rotations · middle twist
A 29-year-old woman presents ten days after an uncomplicated vaginal delivery under epidural analgesia with four days of worsening headache, which she says is w…
Obstetrics and Gynaecology · Clinical rotations · middle twist