Results for “alcohol”

A 42-year-old farmer attends because his wife insisted. She left him four months ago and he has been drinking a bottle of wine most nights. He has lost 6 kg, wa…

Psychiatry and Mental Health · Pre-internship · common

A 34-year-old man who injects heroin presents with two weeks of fevers, sweats, a cough and pleuritic chest pain on both sides. His temperature is 39.2 °C, puls…

Cardiovascular · Clinical rotations · middle twist

A 26-year-old man born in Vietnam who migrated to Australia at age 10 attends for a pre-employment medical. He is well. Blood tests show: hepatitis B surface an…

Gastroenterology and Hepatology · Pre-internship · middle twist

You are a general practice registrar in Perth. A 3-year-old boy attends with his mother for a routine pre-kindergarten review recorded in his personal health re…

Paediatrics · Pre-internship · middle twist

You are the intern caring for a 3-year-old boy admitted with bronchiolitis at a Perth hospital. On the second night his mother tells you that his father drinks…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…

Paediatrics · Clinical rotations · common

A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…

Paediatrics · Clinical rotations · common

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 boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…

Paediatrics · Clinical rotations · middle twist

A 16-year-old girl attends a suburban general practice with her mother because of headaches over three months. Examination, including fundoscopy and blood press…

Paediatrics · Clinical rotations · common

A 15-year-old boy attends a bulk-billing general practice alone for a sports injury certificate. You have completed a psychosocial screen covering home, school,…

Paediatrics · Clinical rotations · middle twist

A 15-year-old girl in Year 10 at a Perth high school attends with her mother for treatment of acne. You spend part of the consultation with her alone and explai…

Paediatrics · Clinical rotations · common

A 15-year-old girl attends a general practice with her mother, who is worried that she has stopped eating properly and has lost weight. Her mother says she has…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three mo…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl attends a general practice with her mother because of four months of tiredness and a 6 kg weight loss. You explain that you see young people…

Paediatrics · Clinical rotations · common

A 7-year-old boy is referred because he is disruptive at school, cannot wait his turn, and is two years behind in reading. He has lived with his grandmother sin…

Paediatrics · Clinical rotations · niche

A 15-year-old boy attends for a sports participation certificate. He mentions that his parents give him a glass of wine with Sunday dinner so that he learns to…

Paediatrics · Clinical rotations · common

A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…

Paediatrics · Pre-internship · common

A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…

Paediatrics · Clinical rotations · common

A 34-year-old man who came to Australia from Somalia six years ago is reviewed by his general practitioner for a depressive episode. After eight weeks of sertra…

Psychiatry · Pre-internship · niche