Results for “hypertension”

A 4-year-old boy has had two weeks of puffiness around his eyes that is worst on waking and improves during the day, and for the past few days his ankles have b…

Paediatrics · Clinical rotations · common

A 9-year-old girl weighing 30 kg presents in diabetic ketoacidosis as the first presentation of type 1 diabetes: pH 7.02, glucose 34 mmol/L, bicarbonate 6 mmol/…

Paediatrics · Pre-internship · middle twist

A 2-year-old girl is brought in by her mother, who felt a lump in the child's abdomen while bathing her. The child is well, eating normally and has not los…

Paediatrics · Clinical rotations · common

A 34-year-old woman at 33 weeks in her third pregnancy, who smokes and has chronic hypertension, presents with two hours of constant severe abdominal pain that…

Obstetrics and Gynaecology · Pre-internship · middle twist

A 31-year-old woman in her first pregnancy presents at 36 weeks with a frontal headache and "flashing lights" for six hours. Her blood pressure was 11…

Obstetrics and Gynaecology · Pre-internship · common

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 76-year-old man reports that for three months he has felt light-headed and has twice nearly fainted walking up the hill to the shops, together with a tight fe…

Cardiovascular · Pre-internship · common

A 31-year-old woman presents with six months of fatigue, nausea and 7 kg of weight loss. She has been adding extra salt to everything and craves potato chips. F…

Endocrine and Metabolic · Clinical rotations · common

A 68-year-old man is brought in by his wife after his third collapse in a month. Each time he has been sitting watching television, has suddenly gone grey and s…

Cardiovascular · Clinical rotations · middle twist

An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…

Paediatrics · Clinical rotations · common

A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receiving intravenous fluid and an insulin infusion for k…

Paediatrics · Pre-internship · niche

A 3-year-old boy has had a fever above 39 degrees Celsius for six days despite regular paracetamol. Both eyes are red without any discharge or crusting. His lip…

Paediatrics · Clinical rotations · middle twist

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 6-year-old boy is seen for a routine check. His mother says he has always been "solidly built", like his father. He is 1.18 m tall and weighs 30 kg, giving a…

Paediatrics · Clinical rotations · common

A 12-year-old boy attends with his mother. His body mass index for age is above the 99.7th percentile on his growth chart, having been on the 92nd percentile at…

Paediatrics · Pre-internship · middle twist

An 8-year-old boy is referred to the paediatric clinic after a school nursing screen recorded a blood pressure of 132/84 mmHg, above the 95th centile for his ag…

Paediatrics · Pre-internship · common

A 49-year-old woman with schizophrenia has taken olanzapine for 12 years and attends a community clinic. Over three months she has become thirsty, gets up twice…

Psychiatry · Clinical rotations · middle twist

An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…

Psychiatry · Pre-internship · common

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 62-year-old man is reviewed in the cardiology clinic eight weeks after an anterior myocardial infarction. He meets criteria for a moderate depressive episode…

Psychiatry · Pre-internship · niche