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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 70 kg man has a 12 cm laceration across the extensor surface of his right forearm from a falling pane of glass. Tendon function through the full range of move…

Acute Care · Pre-internship · middle twist

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 7-year-old girl fell from a scooter onto her outstretched hand yesterday. Her wrist is swollen and tender about 2 cm proximal to the wrist crease, she is usin…

Acute Care · Pre-internship · middle twist

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 28-year-old man jumped from a first-floor window to escape a house fire and has blistered burns over about 30% of his body surface. Forty-five minutes after t…

Acute Care · Pre-internship · niche

A 34-year-old man is brought in after a petrol fire in a shed. The skin over the whole front of his chest and abdomen is blistered, moist and painful. His right…

Acute Care · Clinical rotations · middle twist

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 24-year-old man is brought in by ambulance after his motorcycle struck a guardrail. His left leg is partly amputated below the knee and bright blood is wellin…

Acute Care · Pre-internship · common

A 71-year-old woman who speaks only Vietnamese is ready to leave the emergency department after chest pain with normal troponin results. She is to start a new m…

Acute Care · Pre-internship · 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

A 9-year-old girl is brought to a Western Australian emergency department by her mother with three weeks of intermittent abdominal pain. While her mother is out…

Acute Care · Pre-internship · middle twist

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 63-year-old man presents 30 hours after a garden fork went through his boot into the sole of his foot while he was turning manure. The puncture is 2 cm deep a…

Acute Care · Pre-internship · niche

A 58-year-old man is treated in the emergency department for a Colles fracture sustained tripping over a gutter. He smokes 25 cigarettes a day and lights the fi…

Acute Care · Clinical rotations · middle twist

A 24-year-old woman is brought in by ambulance after being found unrousable at home. She had swallowed six of her flatmate's morphine tablets, which he takes tw…

Acute Care · Pre-internship · middle twist

A 41-year-old bricklayer attends the emergency department after cutting his forearm on a broken glass door at home. The wound is cleaned and sutured. On routine…

Acute Care · Clinical rotations · middle twist

A 23-year-old woman is medically cleared six hours after taking 20 of her flatmate's quetiapine tablets at the end of a relationship. She says she regrets it, i…

Acute Care · Pre-internship · middle twist

A 74-year-old woman is being discharged from the emergency department after a fall at home with an undisplaced pubic ramus fracture on radiography. She can weig…

Acute Care · Pre-internship · middle twist

A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consciousness. He vomited once at the scene and not sin…

Acute Care · Clinical rotations · middle twist