Results for “coma”

An 84-year-old woman is on the ward on the evening of the first day after hemiarthroplasty for a fractured neck of femur. She has a morphine patient-controlled…

Acute Care · Clinical rotations · middle twist

A 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…

Acute Care · Pre-internship · niche

A 26-year-old woman is brought in three hours after taking about 40 alprazolam tablets with wine. She sleeps but rouses to a loud voice, gags on an oropharyngea…

Acute Care · Pre-internship · niche

A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consciousness. He vomited once at the scene and not sin…

Acute Care · Clinical rotations · 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 78-year-old man presents with a lesion on the sun-exposed forearm that has enlarged from a pinpoint mark to 18 mm over seven weeks. It is a firm, smooth, red-…

Dermatology · Clinical rotations · middle twist

A 35-year-old woman is referred for a brown plaque on the upper back that has slowly enlarged over nine years. It was initially flat, but several firm reddish-b…

Dermatology · Clinical rotations · middle twist

A 7-year-old boy has complained of pain in both thighs and an intermittent limp for one month. He is pale but afebrile, and there is no joint swelling; both hip…

Haematology and Oncology · Clinical rotations · common

A 72-year-old man with atrial fibrillation notices sudden, profound loss of vision in his right eye while eating breakfast. There is no pain, headache or preced…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…

Emergency and Toxicology · 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 21-year-old man collapses at the 14 km mark of a city fun run on a 34°C day. In the trackside medical tent he is confused and agitated with a Glasgow Coma Sca…

Emergency and Toxicology · Pre-internship · common

A 19-year-old man presents six hours after an acute ingestion of an unknown number of immediate-release paracetamol tablets in a suicide attempt. He is alert, w…

Emergency and Toxicology · Pre-internship · middle twist

A 24-year-old woman presents to the emergency department two hours after impulsively swallowing 32 tablets of 500 mg immediate-release paracetamol (16 g) follow…

Emergency and Toxicology · Pre-internship · middle twist

A 66-year-old woman is brought to the emergency department at 9 pm with severe right-sided headache, nausea and repeated vomiting that began while she was watch…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 62-year-old woman who takes sertraline for depression is brought to the emergency department after a witnessed generalised tonic-clonic seizure at home. She i…

Renal, Urology and Electrolytes · Clinical rotations · common

A 64-year-old woman develops sudden, profound painless loss of vision in her left eye 90 minutes before assessment. The left pupil has a relative afferent pupil…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 71-year-old man develops severe pain and blurred vision in his right eye over two hours. He reports coloured haloes around lights and nausea; examination show…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 58-year-old woman presents with a unilateral red eye that began this morning. She reports marked discomfort and says bright light is unpleasant, but has no hi…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 25-year-old male is brought to the emergency department after a road traffic accident. On examination, he opens his eyes to pain, speaks incomprehensible soun…

Year 3 · Clinical rotations · middle twist