Results for “liver”

A 22-year-old woman presents to the emergency department with 24 hours of lower abdominal pain that began around the umbilicus and is now most marked on the rig…

Surgery and Perioperative Care · Clinical rotations · middle twist

A 64-year-old man with type 2 diabetes has an HbA1c of 62 mmol/mol (7.8%) despite maximal-dose metformin and attention to diet and activity. He had a myocardial…

Endocrine and Metabolic · Clinical rotations · middle twist

A 35-year-old man born in Vietnam attends for pre-employment health screening and is found to have the following results: HBsAg negative, anti-HBs positive at 8…

Gastroenterology and Hepatology · Clinical rotations · common

A 58-year-old man is reviewed after routine blood tests show ALT 68 U/L (<40), AST 44 U/L (<40) and GGT 80 U/L (<60). He has type 2 diabetes and hypertension, h…

Gastroenterology and Hepatology · Clinical rotations · common

A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 10-week pregnant woman is found to be non-immune to rubella during antenatal screening. She has no symptoms and has never had an immediate hypersensitivity re…

Obstetrics and Gynaecology · Clinical rotations · common

A 34-year-old swimmer has had increasing right ear pain for three days. Moving the pinna and pressing the tragus markedly worsen the pain, and the external cana…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 45-year-old man becomes acutely unwell after receiving approximately 20 mL of an incompatible red-cell unit. He develops fever, severe flank pain, hypotension…

Emergency and Toxicology · Pre-internship · common

A 42-year-old woman has 6 months of symmetrical swelling and tenderness of the metacarpophalangeal and proximal interphalangeal joints. Morning stiffness lasts…

Rheumatology and Musculoskeletal · Clinical rotations · common

A 3-year-old boy is brought to the emergency department after falling from a low-height chair at home. He has swelling and tenderness over his left forearm. X-r…

Year 4 · Clinical rotations · common

A 52-year-old man presents to the emergency department with sudden onset of vomiting blood and lightheadedness. He reports passing black stools over the past fe…

Year 4 · Clinical rotations · common

A 72-year-old woman with well-compensated alcoholic cirrhosis (Child-Pugh A) is referred due to persistent iron deficiency anaemia. She denies haematemesis, mel…

Year 4 · Clinical rotations · niche

A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…

Year 4 · Clinical rotations · common

A 50-year-old woman presents to the rheumatology clinic due to an 8-month history of joint pain and swelling that affects her bilateral wrists, MCP, and PIP joi…

Year 3 · Clinical rotations · common

A 75-year-old male presents to the clinic with generalized fatigue, weight loss, and chronic abdominal pain. He was diagnosed with pancreatic cancer a year ago…

Year 4 · Pre-internship · common

Which of the following is the most common type of familial dyslipidemia associated with markedly elevated LDL cholesterol and a high risk of early cardiovascula…

Year 4 · Mechanisms of disease · common

For how long should doxycycline be continued after leaving a malaria-endemic area?

Year 4 · Clinical rotations · common

A 32-year-old male presents to the emergency room complaining of multiple episodes of forceful vomiting followed by vomiting of blood. The patient consumed a bo…

Year 4 · Clinical rotations · common

A 60-year-old woman with history of chronic liver disease presents to the emergency room with sever hematemesis. She reports recurrent episodes of vomiting bloo…

Year 4 · Clinical rotations · common