AMC

You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…

Paediatrics · Pre-internship · common

A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemiscrotum is empty and underdeveloped. The right tes…

Paediatrics · Pre-internship · middle twist

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 10-day-old girl is reviewed before discharge from the special care nursery, where she was admitted for feeding support. She was born at 38 weeks in a frank br…

Paediatrics · Pre-internship · 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

An 8-year-old boy is referred to the paediatric clinic after a school nursing screen recorded a blood pressure of 132/84 mmHg, above the 95th centile for his ag…

Paediatrics · Pre-internship · 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

You are the intern on the postnatal ward. A healthy term boy was born two hours ago weighing 3400 g. After a full discussion of the risks, both parents decline…

Paediatrics · Pre-internship · middle twist

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 79-year-old woman is admitted with ongoing lower gastrointestinal bleeding and a haemoglobin concentration of 72 g/L (reference range 115–155). She is receivi…

Cardiovascular · Pre-internship · middle twist

A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…

Gastroenterology and Hepatology · Clinical rotations · common

A 61-year-old man is brought to the emergency department after fainting and passing a large amount of bright red blood. His blood pressure is now 102/70 mmHg af…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 74-year-old woman presents with sudden passage of a large volume of dark red blood per rectum. After two litres of intravenous crystalloid her blood pressure…

Emergency and Toxicology · Pre-internship · middle twist

A 58-year-old man with established alcohol-related cirrhosis presents with two episodes of black, offensive stool and light-headedness. His blood pressure is 10…

Infectious Diseases · Clinical rotations · middle twist

A 32-year-old woman shares a bedroom with her partner, who has been admitted with laboratory-confirmed meningococcal meningitis. She has no fever or rash and fe…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 24-year-old man presents with two days of sore throat, fever and increasing difficulty swallowing. He has muffled speech, tender cervical nodes and a grey-whi…

Infectious Diseases · Pre-internship · middle twist

A 41-year-old man undergoes urgent debridement for a necrotising infection of the calf. Initial broad-spectrum treatment has been given, and deep tissue culture…

Emergency and Toxicology · Clinical rotations · middle twist

A 63-year-old man is admitted with fever, hypotension and rapidly progressive cellulitis of the forearm. He had been licked on an excoriated hand by his daughte…

Emergency and Toxicology · Clinical rotations · common

A 35-year-old woman at 35 weeks of pregnancy presents with vomiting, malaise and jaundice. She is normotensive, has no proteinuria and has mild right upper quad…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 21-year-old university student notices yellowing of his eyes after several days of restricted food intake during examinations. He is otherwise well and has no…

Gastroenterology and Hepatology · Clinical rotations · common