Results for “urinary retention”

A 22-year-old woman is brought from a music festival by paramedics. She is agitated and confused, her temperature is 39.8 °C, pulse 132/min, blood pressure 158/…

Emergency and Toxicology · Clinical rotations · middle twist

An 18-month-old boy is brought to a rural emergency department after being found in a farm shed beside a spilt container, with his clothing wet. He is drowsy bu…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…

Paediatrics · Pre-internship · middle twist

A 46-year-old man taking venlafaxine 225 mg daily for depression is admitted after a fall at work. The orthopaedic team started slow-release tramadol two days a…

Psychiatry · Pre-internship · niche

A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…

Psychiatry · Clinical rotations · common

A 77-year-old woman is brought to the emergency department by her daughter because she has become confused and unsteady over three days. Five weeks ago her gene…

Psychiatry · Clinical rotations · middle twist

You are the intern covering an orthopaedic ward at 11 pm on the third night after a 78-year-old woman's hip hemiarthroplasty. The nurse says she has not slept,…

Psychiatry · Pre-internship · middle twist

A 30-year-old woman is brought to the emergency department unable to walk after a heated argument with her mother. Her right leg lies flaccid and she cannot lif…

Psychiatry · Pre-internship · middle twist

A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…

Psychiatry · Clinical rotations · common

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

You are the intern covering the orthopaedic ward at 2 am. A 79-year-old man, two days after hemiarthroplasty for a fractured neck of femur, is climbing over the…

Psychiatry · Pre-internship · middle twist

A 27-year-old man is brought in after his motorcycle struck a guardrail. A binder has been applied for an open-book pelvic fracture and he is haemodynamically s…

Acute Care · Pre-internship · middle twist

An 88-year-old woman in residential aged care has had an indwelling urethral catheter for eight months for a neurogenic bladder, and it will be needed indefinit…

Acute Care · Pre-internship · middle twist

An 84-year-old man with prostate cancer and bone metastases is catheterised in the emergency department for painless retention that has built up over several we…

Acute Care · Clinical rotations · middle twist

A 34-year-old man is brought to the emergency department six hours after his general practitioner increased his sertraline and added tramadol for back pain. He…

Acute Care · Clinical rotations · middle twist

A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where…

Acute Care · Clinical rotations · common

A 68-year-old man with a recent transurethral resection of a bladder tumour presents with worsening suprapubic pain and inability to pass urine. He has passed b…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

A 46-year-old man with schizophrenia becomes restless and confused two days after his haloperidol dose was increased. He is febrile at 39.8°C, has widespread mu…

Emergency and Toxicology · Pre-internship · common

A 31-year-old woman presents 12 days after a vaginal birth with increasing bleeding, fever and lower abdominal discomfort. Her temperature is 39.1°C, the uterus…

Obstetrics and Gynaecology · Clinical rotations · common

A 34-year-old woman presents with anxiety, poor sleep, nausea and a sense that people are watching her. She stopped taking alprazolam 72 hours ago after using 6…

Emergency and Toxicology · Clinical rotations · common