Results for “acute abdomen”

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 46-year-old woman was admitted yesterday with epigastric pain and a serum lipase of 3,400 U/L (<60). Ultrasound showed multiple gallbladder stones and a commo…

Gastroenterology and Hepatology · Pre-internship · middle twist

A 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…

Paediatrics · Clinical rotations · common

A 3-year-old girl is brought in after her mother felt a lump in her tummy while bathing her. She is thriving, plays normally, and has had no fever, weight loss…

Paediatrics · Clinical rotations · common

A 23-year-old man with treatment-resistant schizophrenia started clozapine eighteen days ago and now takes 250 mg daily. He tells the nurse he feels as though h…

Psychiatry · Clinical rotations · middle twist

A 58-year-old man is on the surgical ward on the second day after an elective inguinal hernia repair. He is anxious and sweating, his hands tremble, and he has…

Psychiatry · Pre-internship · middle twist

A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…

Psychiatry · Clinical rotations · common

A 62-year-old Aboriginal woman from a remote Kimberley community is admitted to a Broome hospital with small bowel obstruction and listed for laparotomy on tomo…

Acute Care · Pre-internship · middle twist

You are the intern covering a paediatric ward at a Perth public hospital at 2100. The mother of a 6-year-old boy admitted this morning with fever and vomiting s…

Acute Care · Pre-internship · middle twist

A 19-year-old man is thrown from his motorcycle at highway speed. On arrival he is alert and complains only of neck pain. His blood pressure is 78/44 mmHg and h…

Acute Care · Clinical rotations · common

A 7-year-old boy is brought to the emergency department because he has been breathing hard since the morning. He has vomited repeatedly for two days and says hi…

Acute Care · Clinical rotations · middle twist

A 71-year-old man presents with two hours of severe left loin pain radiating into the groin, with vomiting. He has never had pain like this before. He smokes 20…

Acute Care · Clinical rotations · middle twist

A 31-year-old man is brought in after his utility vehicle struck a tree at speed. He is pale and cold and speaks in short phrases. Heart rate 132/min, blood pre…

Acute Care · Clinical rotations · common

A 68-year-old man presents with two days of rigors and right flank pain and is confused on arrival. Temperature 38.8 °C, respiratory rate 26/min, heart rate 118…

Acute Care · Pre-internship · middle twist

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 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

An 81-year-old woman was brought from a residential aged care facility two hours ago with fever and dysuria; her observations were normal at triage and she was…

Acute Care · Pre-internship · middle twist

A 24-year-old man is brought in after his motorcycle struck a fence post. He opens his eyes to pain, makes incomprehensible sounds and localises with his right…

Acute Care · 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