Results for “diarrhoea”

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 9-year-old girl has had five months of intermittent central abdominal pain, worst on school mornings. Her parents separated six months ago and she has missed…

Paediatrics · Clinical rotations · middle twist

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…

Paediatrics · Pre-internship · middle twist

A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…

Paediatrics · Clinical rotations · middle twist

You are the intern on the postnatal ward. A healthy term boy was born two hours ago weighing 3400 g. After a full discussion of the risks, both parents decline…

Paediatrics · Pre-internship · middle twist

A 46-year-old man has consulted five doctors in two years convinced he has bowel cancer. He has had three colonoscopies, all normal, and inspects his stool ever…

Psychiatry · Clinical rotations · middle twist

A 24-year-old man admitted with a first episode of psychosis started olanzapine six days ago and had the dose increased four days ago; he has also taken sertral…

Psychiatry · Pre-internship · niche

A 4-year-old girl has had three days of watery diarrhoea and vomiting. She is irritable with dry mucous membranes and reduced urine output; her hands are warm,…

Acute Care · Clinical rotations · middle twist

A 4-year-old boy weighing 16 kg has had profuse watery diarrhoea and vomiting for three days and has not passed urine since yesterday. In the emergency departme…

Acute Care · Pre-internship · middle twist

An 82-year-old woman in a residential aged care facility has had watery diarrhoea and intermittent vomiting for two days. She is alert and oriented, her mucous…

Acute Care · Clinical rotations · middle twist

A 24-year-old man has passed up to twelve watery stools a day for five days after returning from a trek in Nepal. He is thirsty and weak. His pulse is 118/min a…

Physiology · Foundations · middle twist

A 58-year-old man has vomited large volumes each day for nine days, bringing up food eaten the day before. The vomitus contains no bile. He has lost 5 kg, his m…

Physiology · Foundations · middle twist

A 29-year-old man is brought in shortly after his partner administered naloxone for suspected heroin overdose. He is yawning repeatedly, has abdominal cramps, d…

Emergency and Toxicology · Clinical rotations · common

A 29-year-old woman presents with headache, confusion and reduced urine output. She is pale and has scattered petechiae; investigations show haemoglobin 78 g/L…

Haematology and Oncology · Clinical rotations · middle twist

A 54-year-old man presents with five days of fever, dry cough, headache and diarrhoea after returning from a Mediterranean cruise. He is confused, respiratory r…

Respiratory · Clinical rotations · middle twist

A 70-year-old woman vomits during a generalised seizure and becomes cyanosed. One hour later her temperature is 38.4°C, oxygen saturation is 88% on room air and…

Infectious Diseases · Clinical rotations · common

A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…

Emergency and Toxicology · Pre-internship · common

A 46-year-old man with schizophrenia becomes restless and confused two days after his haloperidol dose was increased. He is febrile at 39.8°C, has widespread mu…

Emergency and Toxicology · Pre-internship · common

A 29-year-old man presents two days after running out of prescribed oxycodone, which he had been taking in increasing amounts for a year. He is yawning, restles…

Emergency and Toxicology · Clinical rotations · common