Results for “cough”

A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…

Paediatrics · Clinical rotations · common

A 2-year-old boy brought in at 2 am has a harsh barking cough and a hoarse cry. His general practitioner gave him prednisolone 1 mg/kg nine hours ago and he set…

Paediatrics · Pre-internship · middle twist

A 3-year-old girl who arrived from Ethiopia six months ago is screened after her grandmother, who shares the house, was diagnosed with smear-positive pulmonary…

Paediatrics · Pre-internship · middle twist

A 6-year-old boy with laboratory-confirmed SARS-CoV-2 infection is admitted to a paediatric ward. Over an hour his oxygen saturation falls to 88 per cent on 6 L…

Paediatrics · Pre-internship · common

A 9-week-old girl is brought to a regional emergency department with three weeks of cough. Her mother describes bouts of coughing that leave her red in the face…

Paediatrics · Clinical rotations · middle twist

A 7-month-old girl is referred to a paediatric clinic with slow weight gain. Her weight has fallen from the 50th to the 9th centile over three months while her…

Paediatrics · Pre-internship · 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 4-month-old girl with a large ventricular septal defect is reviewed before surgical repair. She breastfeeds every two hours but takes 40 minutes each time, sw…

Paediatrics · Pre-internship · middle twist

A 9-month-old boy is brought by his mother, who is worried he is too small because her sister's baby of the same age is much bigger. He was born at term weighin…

Paediatrics · Clinical rotations · middle twist

A 5-month-old boy is brought by his mother, who has been told at the child health clinic that he is under the line and is frightened that something is being mis…

Paediatrics · Clinical rotations · middle twist

A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…

Paediatrics · Pre-internship · common

A 31-year-old woman stopped paroxetine four days ago; she had taken 20 mg daily for eight months for panic disorder and ran out of tablets while interstate for…

Psychiatry · Clinical rotations · middle twist

A 46-year-old man with schizophrenia has taken clozapine 400 mg daily for four years without a dose change. Over the past ten days he has become drowsy in the a…

Psychiatry · Pre-internship · niche

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

A 24-year-old man with treatment-resistant schizophrenia is on day 18 of clozapine, now 250 mg at night. He is febrile at 38.4 degrees Celsius with a pulse of 1…

Psychiatry · Pre-internship · niche

A 76-year-old man with long-standing asthma has needed his reliever most nights for six weeks and now wakes twice a night wheezing. His preventer, budesonide wi…

Ophthalmology · Clinical rotations · middle twist

A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…

Acute Care · Clinical rotations · middle twist

A 58-year-old man is admitted with three days of fever and a productive cough. He weighs 138 kg, uses continuous positive airway pressure at home for witnessed…

Acute Care · Pre-internship · middle twist

A 47-year-old man chokes on a piece of bread roll while talking at a workplace lunch. He coughs hard for a few seconds, then the coughing becomes silent and his…

Acute Care · Clinical rotations · middle twist

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Acute Care · Clinical rotations · common