Results for “renal function”

A 45-year-old woman with bipolar I disorder, stable on lithium carbonate 1,000 mg nightly for six years with levels consistently 0.7–0.8 mmol/L, presents with t…

Psychiatry and Mental Health · Pre-internship · middle twist

A 24-year-old woman with seven weeks of amenorrhoea and a positive home pregnancy test presents with two days of left-sided lower abdominal pain and light vagin…

Obstetrics and Gynaecology · Pre-internship · middle twist

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 62-year-old woman with type 2 diabetes is booked for an elective laparoscopic right hemicolectomy for a caecal cancer in one week. She will be fasting from mi…

Surgery and Perioperative Care · Pre-internship · niche

A 66-year-old woman is on day 8 after an elective total hip replacement and has been receiving subcutaneous enoxaparin 40 mg daily since surgery. Her platelet c…

Haematology and Oncology · Pre-internship · niche

A 61-year-old man presents with 24 hours of severe pain, redness and swelling of his right first metatarsophalangeal joint, left ankle and right knee. He has ha…

Rheumatology and Musculoskeletal · Pre-internship · middle twist

A 24-year-old man presents with dark brown urine that began the day after the onset of a sore throat. He recalls two similar episodes in the past two years, eac…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

A 52-year-old Aboriginal woman from a community in Cape York presents with a week of palpitations and breathlessness on walking to the store. She had several ep…

Cardiovascular · Pre-internship · middle twist

You are the intern on a Perth paediatric ward. Over three weeks you admit four toddlers from the same remote community with extensive impetigo, and a fifth chil…

Paediatrics · Pre-internship · middle twist

A 10-year-old boy weighing 32 kg is admitted to the ward for observation after an appendicectomy. He is comfortable, normotensive and well perfused, has not vom…

Paediatrics · Pre-internship · middle twist

A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet…

Paediatrics · Pre-internship · niche

A 5-year-old boy weighing 20 kg is admitted with bacterial meningitis. He is alert, his peripheries are warm with capillary refill under two seconds, and his mu…

Paediatrics · Clinical rotations · middle twist

A 15-year-old boy attends the renal clinic two years after a living-donor kidney transplant. He takes tacrolimus, mycophenolate and low-dose prednisolone daily,…

Paediatrics · Pre-internship · middle twist

A 13-year-old boy who received a kidney transplant two years ago attends the renal clinic. He takes tacrolimus and mycophenolate and his graft function is stabl…

Paediatrics · Pre-internship · niche

A 14-year-old boy attends the renal clinic. He received a deceased-donor kidney transplant at age 9 and takes tacrolimus, mycophenolate and low-dose prednisolon…

Paediatrics · Pre-internship · niche

A 45-year-old man with major depressive disorder has been treated for seven weeks and his mood has clearly improved. He now reports intensely vivid, unpleasant…

Psychiatry · Clinical rotations · middle twist

A 74-year-old woman has been an inpatient for five weeks with a severe depressive episode. She has completed adequate trials of sertraline and then venlafaxine…

Psychiatry · Pre-internship · niche

A 64-year-old woman attends the general practice with six weeks of low mood, tearfulness, broken sleep and loss of interest in everything she used to enjoy. Fiv…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman was admitted three days ago with cellulitis, which is settling on flucloxacillin. Since yesterday she has been muddled at night, insists th…

Psychiatry · Clinical rotations · middle twist

A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…

Acute Care · Pre-internship · middle twist