Results for “arrhythmia”

A 79-year-old woman is brought in drowsy and clammy after two episodes of collapse at home. The monitor shows complete heart block with a ventricular rate of 34…

Acute Care · Pre-internship · middle twist

A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…

Acute Care · Pre-internship · middle twist

A 24-year-old woman with type 1 diabetes presents with abdominal pain, vomiting and deep breathing. Her blood glucose concentration is 24 mmol/L, venous pH is 7…

Endocrine and Metabolic · Clinical rotations · middle twist

A 42-year-old man is brought to hospital 45 minutes after taking an unknown number of amitriptyline tablets. He is drowsy, has a blood pressure of 78/46 mmHg an…

Emergency and Toxicology · Clinical rotations · common

A 62-year-old man has a regular broad-complex tachycardia at 190 beats per minute three hours after treatment for an acute myocardial infarction. He is consciou…

Emergency and Toxicology · Pre-internship · common

A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…

Cardiovascular · Clinical rotations · common

A 24-year-old woman presents with abrupt pounding in her neck and mild breathlessness that began while she was sitting at work. She is alert, warm and normotens…

Cardiovascular · Clinical rotations · middle twist

A 24-year-old man with type 1 diabetes presents with vomiting and abdominal pain. His blood glucose concentration is 28 mmol/L, blood ketones are 6.4 mmol/L and…

Endocrine and Metabolic · Clinical rotations · middle twist

A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…

Emergency and Toxicology · Pre-internship · common

A 32-year-old man is found confused after ingesting an unknown number of amitriptyline tablets. He has a blood pressure of 86/54 mmHg, a pulse of 126/min and a…

Emergency and Toxicology · Clinical rotations · common

A 71-year-old man is monitored after an inferior ST-elevation myocardial infarction. He becomes dizzy but remains conscious; the ECG shows regular P waves at 84…

Cardiovascular · Clinical rotations · common

A 49-year-old woman with a recently diagnosed adrenal pheochromocytoma requires drainage of a painful dental abscess before definitive tumour surgery. Her blood…

Emergency and Toxicology · Clinical rotations · niche

A 48-year-old woman taking sotalol for paroxysmal atrial fibrillation has two brief episodes of collapse. The ECG monitor records recurrent bursts of polymorphi…

Emergency and Toxicology · Mechanisms of disease · common

A 72-year-old woman with severe chronic obstructive pulmonary disease is admitted with worsening breathlessness. Her pulse is irregular at 118 beats per minute.…

Cardiovascular · Clinical rotations · middle twist

A 67-year-old man with a previous anterior myocardial infarction develops palpitations while being monitored in hospital. He is alert, has a blood pressure of 1…

Cardiovascular · Clinical rotations · common

A 29-year-old man presents with palpitations and light-headedness. His pulse is irregular at 190 beats per minute and the blood pressure is 126/74 mmHg. The ECG…

Cardiovascular · Clinical rotations · niche

A 28-year-old woman is brought in by ambulance 90 minutes after being found drowsy next to an empty box of amitriptyline. Her Glasgow Coma Scale score is 12, he…

Emergency and Toxicology · Pre-internship · common

A 32-year-old woman develops widespread urticaria, lip swelling and wheeze within 15 minutes of eating a satay dish at a restaurant. On arrival of paramedics he…

Emergency and Toxicology · Pre-internship · common

A 46-year-old woman with bipolar disorder has been stable on lithium carbonate for five years. She presents with two days of nausea, vomiting and unsteadiness o…

Psychiatry and Mental Health · Clinical rotations · common

A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…

Psychiatry and Mental Health · Clinical rotations · common