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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 24-year-old man sustains a closed fracture of the midshaft of the left tibia playing football. A plaster backslab with encircling crepe bandage is applied and…

Emergency and Toxicology · Pre-internship · middle twist

A 58-year-old woman presents with two days of right loin pain radiating to the groin, associated with shaking chills. Her temperature is 38.9°C, pulse 118/min a…

Emergency and Toxicology · Pre-internship · middle twist

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 19-year-old man is brought to a rural general practice, 45 minutes from the nearest hospital, with six hours of fever, vomiting and severe pain in his legs. H…

Emergency and Toxicology · Pre-internship · common

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

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