Results for “endocrine”

You are drawing a three-generation pedigree for a 7-year-old girl referred with recurrent headaches. Her mother mentions that the child's father, from whom she…

Paediatrics · Pre-internship · middle twist

A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…

Paediatrics · Clinical rotations · common

A 15-year-old girl has never had a period. Her breasts and pubic hair have been fully developed and unchanged for about a year, and she has grown 1 cm in the pa…

Paediatrics · Pre-internship · niche

A 14-year-old boy is brought in by both parents, who are worried that he is the shortest in his year and has not started to change. His height has followed the…

Paediatrics · Clinical rotations · niche

A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents are overweight, he spends most of his free time o…

Paediatrics · Clinical rotations · middle twist

A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…

Paediatrics · Clinical rotations · middle twist

A 14-year-old boy is brought by his mother because he is the shortest in his class and is being teased. His height has followed a line just below the 3rd percen…

Paediatrics · Clinical rotations · middle twist

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 24-year-old man with schizophrenia has been prescribed risperidone 6 mg daily for eight weeks since his first admission. He still hears two voices commenting…

Psychiatry · Clinical rotations · middle twist

A 12-year-old boy with autism spectrum disorder and moderate intellectual disability has been banging his head on walls and biting his forearms several times a…

Psychiatry · Clinical rotations · middle twist

A 27-year-old man is assessed in the emergency department short-stay unit with three weeks of low mood, waking at 4 am and hopelessness. He has had two similar…

Psychiatry · Pre-internship · middle twist

A 78-year-old man presents with a lesion on the sun-exposed forearm that has enlarged from a pinpoint mark to 18 mm over seven weeks. It is a firm, smooth, red-…

Dermatology · Clinical rotations · middle twist

A 3-week-old boy is brought with persistent jaundice, poor weight gain and two episodes of jitteriness before feeds. He was born at term with a small penis and…

Paediatrics · Clinical rotations · middle twist

A 49-year-old man develops abrupt retro-orbital pain and vomiting while exercising. In the next hour he becomes drowsy and develops left ptosis with limitation…

AMC · Clinical rotations · middle twist

A 41-year-old woman has progressive weight gain, proximal muscle weakness and easy bruising. Her 24-hour urinary free cortisol is 780 nmol/day (reference less t…

Biomedical Science · Mechanisms of disease · middle twist

A 52-year-old man has a blood pressure of 162/98 mmHg despite adequate doses of perindopril, amlodipine and hydrochlorothiazide, with good adherence confirmed.…

Endocrine and Metabolic · Clinical rotations · middle twist

A 35-year-old man reports drinking approximately 6 L of water daily because of anxiety about dehydration. He is alert, euvolaemic and not taking diuretics or an…

Renal, Urology and Electrolytes · Clinical rotations · common

A 64-year-old woman has had an estimated glomerular filtration rate of 26 mL/min/1.73 m² on two measurements 4 months apart. Her urine albumin:creatinine ratio…

Haematology and Oncology · Pre-internship · middle twist

A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic c…

Endocrine and Metabolic · Clinical rotations · middle twist

A 44-year-old man has an incidental 8-mm pituitary lesion discovered during MRI for headaches. He has normal visual fields, normal pituitary hormone testing, an…

Endocrine and Metabolic · Clinical rotations · middle twist