Results for “asthma”

A 4-month-old girl, born at term, has had three days of a runny nose and cough and today is breathing fast and feeding poorly, taking about half her usual volum…

Paediatrics · Clinical rotations · common

A 71-year-old man with severe chronic obstructive pulmonary disease presents with three days of increasing breathlessness and green sputum. On arrival he is dro…

Respiratory · Pre-internship · middle twist

A 6-year-old Aboriginal boy attends a Perth general practice with his mother for a certificate to return to school after chickenpox. He is well, fully immunised…

Paediatrics · Clinical rotations · middle twist

A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…

Paediatrics · Clinical rotations · common

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

A 15-year-old girl attends a general practice for a repeat of her salbutamol inhaler. She has had asthma since childhood. She uses salbutamol two or three times…

Paediatrics · Pre-internship · middle twist

A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…

Paediatrics · Clinical rotations · common

A 16-year-old girl attends a Perth general practice for a repeat asthma prescription. She spent a term of Year 7 overseas and her immunisation record shows no d…

Paediatrics · Clinical rotations · middle twist

A 5-year-old boy with steroid-sensitive nephrotic syndrome finished a six-week course of oral prednisolone 2 mg/kg daily yesterday. He is in remission, is well…

Paediatrics · Pre-internship · middle twist

You are the resident in a paediatric outpatient clinic. A 15-year-old boy attends for review of his asthma, which is well controlled. At the start you explained…

Paediatrics · Pre-internship · middle twist

A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…

Paediatrics · Clinical rotations · common

A 24-year-old man avoids parties, will not eat in the staff cafeteria, cannot bring himself to ask a shop assistant for help, and has turned down a promotion be…

Psychiatry · Pre-internship · middle twist

A 78-year-old man admitted a fortnight ago with a first psychotic illness had his risperidone increased from 1 mg to 3 mg daily seven days ago. Since then he ha…

Psychiatry · Pre-internship · middle twist

A 76-year-old man with long-standing asthma has needed his reliever most nights for six weeks and now wakes twice a night wheezing. His preventer, budesonide wi…

Ophthalmology · Clinical rotations · middle twist

A 7-year-old boy is ready to leave a Perth emergency department six hours after a moderate asthma flare-up. He has had salbutamol by spacer and a first dose of…

Acute Care · Clinical rotations · middle twist

A 24-year-old woman is admitted with an exacerbation of asthma. After an hour of nebulised salbutamol and ipratropium and oral prednisolone she is speaking in f…

Acute Care · Pre-internship · niche

A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…

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 34-year-old woman arrives 20 minutes after eating a satay skewer at a food van. She has widespread weals, a hoarse voice and expiratory wheeze. Blood pressure…

Acute Care · Pre-internship · middle twist

A 23-year-old university student is reviewed after being given a salbutamol inhaler by a locum six months ago. He uses it about three times most weeks for chest…

Acute Care · Clinical rotations · middle twist