Medicine

A 10-day-old boy born at term is brought in with two days of poor feeding, vomiting and lethargy, and today is floppy and grey. He is afebrile, with a heart rat…

Paediatrics · Clinical rotations · niche

An 8-month-old boy is brought in because his 5-year-old cousin, who visited the house two days ago and played with him for an afternoon, has today been diagnose…

Paediatrics · Pre-internship · niche

A 16-week-old girl is brought for her first immunisations; the family have recently arrived from overseas and she has had only the birth dose of hepatitis B vac…

Paediatrics · Clinical rotations · niche

A 78-year-old man presents with three days of inability to pass urine and a painful lower abdomen, on a background of months of a poor stream and nocturia. A ur…

Renal, Urology and Electrolytes · Pre-internship · niche

A 62-year-old woman with type 2 diabetes is booked for an elective laparoscopic right hemicolectomy for a caecal cancer in one week. She will be fasting from mi…

Surgery and Perioperative Care · Pre-internship · niche

A 66-year-old woman is on day 8 after an elective total hip replacement and has been receiving subcutaneous enoxaparin 40 mg daily since surgery. Her platelet c…

Haematology and Oncology · Pre-internship · niche

You are the intern attached to a regional public health unit. Its annual child health profile for a town of 4,000 people reports: two-dose measles-mumps-rubella…

Paediatrics · Pre-internship · niche

You are a resident in a Perth children's hospital and have had concerns about five children this week. Each concern is soundly based, you believe each on reason…

Paediatrics · Pre-internship · niche

A 22-month-old boy is brought to the emergency department with scalds to both feet and lower legs. His mother says he climbed into the bath alone while she answ…

Paediatrics · Pre-internship · niche

A 9-day-old term baby is brought to a rural emergency department pale, mottled and grunting after a day of poor feeding. He is afebrile. His heart rate is 190 a…

Paediatrics · Pre-internship · niche

A 4-year-old girl with Dravet syndrome is brought in by ambulance with a generalised convulsion that started 20 minutes ago. Her parents gave buccal midazolam a…

Paediatrics · Pre-internship · niche

Several people are brought to a metropolitan emergency department after a chemical was deliberately released in a shopping centre. A six-year-old girl weighing…

Paediatrics · Pre-internship · niche

A 20-month-old girl is brought to a metropolitan emergency department 45 minutes after her brother saw her swallow a 20 mm lithium button battery from a remote…

Paediatrics · Pre-internship · niche

An 18-month-old girl weighing 10.0 kg has had four days of diarrhoea and has been given water and diluted cordial at home. She is lethargic with a doughy feel t…

Paediatrics · Pre-internship · niche

A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet…

Paediatrics · Pre-internship · niche

A 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maint…

Paediatrics · Pre-internship · niche

An 8-year-old boy who had a right tympanostomy tube inserted last year has a two-week history of an itchy, discharging right ear after swimming lessons. He has…

Paediatrics · Pre-internship · niche

A 7-year-old girl returns from a camping trip in far north Queensland with five days of fever, headache and severe myalgia. There is a 1 cm black-crusted ulcer…

Paediatrics · Clinical rotations · niche

A 13-year-old girl attends a general practice in the first week of September. Every year from the first week of October until Christmas she has a blocked, itchy…

Paediatrics · Clinical rotations · niche

An 8-month-old boy is brought to a general practice with six weeks of dry, pink, scaly patches on both cheeks and around the mouth. He rubs at them and wakes se…

Paediatrics · Pre-internship · niche