Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 72-year-old man presents three days after an episode of weakness of his left arm and leg with slurred speech, which resolved completely within 20 minutes. He…
Neurology · Clinical rotations · common
A 76-year-old woman with atrial fibrillation, whose apixaban was stopped three weeks ago after a fall, presents with four hours of severe constant central abdom…
Cardiovascular · Clinical rotations · common
A 14-year-old boy presents with sudden severe lower abdominal pain that woke him from sleep two hours ago, accompanied by two episodes of vomiting. He is pale a…
Paediatrics · Clinical rotations · common
A 66-year-old man is five days after an ultra-low anterior resection for rectal cancer and had initially been recovering well. Overnight he developed an irregul…
Surgery and Perioperative Care · Clinical rotations · common
A 72-year-old man with hypertension and a 40 pack-year smoking history presents with sudden severe left flank pain radiating to the groin that began one hour ag…
Cardiovascular · Clinical rotations · common
A 78-year-old man from a residential aged care facility, with long-standing constipation, presents with three days of increasing abdominal distension and no pas…
Gastroenterology and Hepatology · Clinical rotations · common
A 45-year-old woman is admitted with epigastric pain radiating to the back and a serum lipase of 2400 U/L (<60). Ultrasound shows multiple small stones in the g…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 68-year-old woman presents with two days of constant right upper quadrant and epigastric pain. Overnight she had two episodes of violent, uncontrollable shaki…
Gastroenterology and Hepatology · Clinical rotations · common
A 22-year-old woman presents to the emergency department with 24 hours of lower abdominal pain that began around the umbilicus and is now most marked on the rig…
Surgery and Perioperative Care · Clinical rotations · middle twist
A 66-year-old man with ischaemic cardiomyopathy attends for review. Echocardiography shows a left ventricular ejection fraction of 30%, and he remains breathles…
Cardiovascular · Clinical rotations · common
A 71-year-old woman with chronic obstructive pulmonary disease presents with two days of worsening breathlessness and purulent sputum. She is treated with 28% o…
Respiratory · Clinical rotations · middle twist
A 24-year-old woman with asthma since childhood attends for review. Her only treatment is a salbutamol inhaler, which she now uses three to four times a week fo…
Respiratory · Clinical rotations · middle twist
A 59-year-old man presents 90 minutes after onset of severe central chest pain with sweating and nausea. The ECG shows 3 mm ST-segment elevation in leads II, II…
Cardiovascular · Clinical rotations · middle twist
A 68-year-old man presents with 30 minutes of rapid palpitations and light-headedness. Three years ago he had a heart attack treated with a coronary artery sten…
Cardiovascular · Clinical rotations · common
A 61-year-old man presents with four days of fever, a dry cough and increasing breathlessness. His wife reports he has been muddled since yesterday and has pass…
Respiratory · Clinical rotations · common
A 76-year-old man is brought to the emergency department after losing consciousness while pushing his lawnmower up a slope. His wife reports he went pale and co…
Cardiovascular · Clinical rotations · common
A 58-year-old man presents with three weeks of progressive breathlessness and a dull right-sided chest ache. He has smoked 30 cigarettes daily for 35 years and…
Respiratory · Clinical rotations · common
A 38-year-old man is reviewed because his blood pressure remains elevated despite perindopril 10 mg and amlodipine 10 mg daily. He feels well, sleeps soundly wi…
Cardiovascular · Clinical rotations · common
A 28-year-old woman presents to the emergency department with two days of right-sided chest pain that is worse on deep inspiration. She takes a combined oral co…
Cardiovascular · Clinical rotations · common
A 38-year-old woman presents with two weeks of pain in the front of her neck radiating to her jaw, together with palpitations, sweating and 2 kg of weight loss.…
Endocrine and Metabolic · Clinical rotations · common