Results for “alcohol”
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A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…
Psychiatry · Clinical rotations · middle twist
A 38-year-old Aboriginal woman is on the caseload of a metropolitan community mental health team after her third admission this year for a depressive episode wi…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…
Psychiatry · Clinical rotations · middle twist
You are an intern on a Perth psychiatry ward. At handover for the evening shift the other intern smells strongly of alcohol, is unsteady and slurring slightly,…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman is brought to a Perth general practice by her daughter, with whom she lives, for a third presentation this year with dehydration. She has l…
Psychiatry · Clinical rotations · middle twist
A 27-year-old man with schizophrenia has been well for 18 months on paliperidone palmitate and attends a community mental health team. He lives with his parents…
Psychiatry · Clinical rotations · middle twist
A 41-year-old woman has had panic attacks with avoidance of buses and shopping centres for two years. Another doctor started diazepam 5 mg twice daily eight mon…
Psychiatry · Pre-internship · middle twist
A 35-year-old intern is caring for a 62-year-old woman with alcohol-related liver disease on a general medical ward. She is the same age as his mother and speak…
Psychiatry · Clinical rotations · middle twist
A 38-year-old woman has a third depressive episode. It began four months after her mother died and she moved interstate for work, leaving the friends and commun…
Psychiatry · Pre-internship · middle twist
A 27-year-old man with schizophrenia remains persistently deluded and hears voices for most of each day. He has completed eight weeks of risperidone 6 mg daily…
Psychiatry · Pre-internship · middle twist
A 26-year-old woman consults her general practitioner five weeks after her relationship ended. She feels flat most days, cries easily and takes an hour to fall…
Psychiatry · Clinical rotations · common
A 15-year-old boy is brought to a general practice by his mother, who says he has become withdrawn over four months. He has stopped playing football, his marks…
Psychiatry · Clinical rotations · common
A 27-year-old man with schizophrenia has taken amisulpride 1200 mg daily for ten weeks and, before that, olanzapine 20 mg daily for twelve weeks. Both were give…
Psychiatry · Pre-internship · middle twist
A 19-year-old man is admitted with a four-week history of persecutory beliefs and voices commenting on his actions. He has used methamphetamine most days for a…
Psychiatry · Clinical rotations · middle twist
A 44-year-old man has adjustment disorder with anxious mood following a workplace investigation. Over eight weeks he has completed six sessions of cognitive beh…
Psychiatry · Pre-internship · middle twist
An 80-year-old woman with moderate Alzheimer disease in residential care has been agitated and wandering at night for five days, and is drowsy during the day. S…
Psychiatry · Pre-internship · middle twist
At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…
Psychiatry · Pre-internship · common
A 38-year-old man on remand is referred to the prison health service for "anger management". He is charming and articulate. He was expelled from school at 13, h…
Psychiatry · Clinical rotations · common
A 41-year-old man with a long-standing diagnosis of borderline personality disorder is reviewed by his community team. Over the past five weeks he has woken at…
Psychiatry · Pre-internship · middle twist
A 29-year-old woman has been treated for "depression" for six years and has now been referred for electroconvulsive therapy after adequate trials of three antid…
Psychiatry · Clinical rotations · middle twist