Results for “urinary tract infection”

A 5-month-old girl has had a fever of 39.2 °C for 24 hours with vomiting and irritability, and no cough, runny nose or rash. Examination is otherwise unremarkab…

Paediatrics · Clinical rotations · middle twist

A 5-week-old boy has vomited after feeds for three weeks. The milk now comes back forcefully enough to reach the floor, and he immediately wants to feed again.…

Paediatrics · Clinical rotations · middle twist

A 7-month-old girl has had six hours of episodes in which she suddenly screams, draws her knees up and stiffens for a minute or two, then lies pale and floppy u…

Paediatrics · Clinical rotations · middle twist

A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normall…

Paediatrics · Clinical rotations · common

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

The parents of a healthy 3-day-old boy ask you to arrange his circumcision before they go home. They give family and cultural reasons. His foreskin is normal fo…

Paediatrics · Pre-internship · middle twist

A five-week-old exclusively breastfed boy is brought to the general practitioner because he is still yellow. He was born at term weighing 3.4 kg and now weighs…

Paediatrics · Clinical rotations · middle twist

A 5-month-old boy is brought to a regional general practice because he "is not filling out". Born at term weighing 3.4 kg, he tracked along the 50th centile unt…

Paediatrics · Clinical rotations · middle twist

A 7-month-old boy is brought to the emergency department by his 19-year-old mother because of a cold. His weight has crossed from the 50th percentile at 4 month…

Paediatrics · Pre-internship · middle twist

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 79-year-old woman was started on sertraline three weeks ago for her first depressive episode. Her daughter brings her to the emergency department because over…

Psychiatry · Pre-internship · middle twist

An 82-year-old man with Alzheimer disease diagnosed four years ago lives in residential care, where he usually plays cards each afternoon and needs help only wi…

Psychiatry · Clinical rotations · middle twist

An 86-year-old man who lives alone is brought to the emergency department by his daughter because he has been muddled for two days and twice called her by his l…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman with metastatic breast cancer is admitted from her retirement village because over four days she has become drowsy by day, restless at nigh…

Psychiatry · Clinical rotations · middle twist

An 82-year-old woman is admitted overnight with a fractured neck of femur after a fall at home. She has had no chest pain, breathlessness or palpitations. Preop…

Acute Care · Pre-internship · niche

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

A 71-year-old man presents with two hours of severe left loin pain radiating into the groin, with vomiting. He has never had pain like this before. He smokes 20…

Acute Care · Clinical rotations · middle twist

A 29-year-old woman at 25 weeks of pregnancy presents with right flank pain, rigors and vomiting. Her temperature is 39.2°C, pulse 132/min and blood pressure 92…

Emergency and Toxicology · Clinical rotations · middle twist

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

An 8-month-old girl has a temperature of 39.4°C and has been unsettled for two days. She is drinking, has normal work of breathing and perfusion, and examinatio…

Paediatrics · Clinical rotations · middle twist