Results for “hypertension”

A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…

Psychiatry · Clinical rotations · common

A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…

Psychiatry · Clinical rotations · common

A 29-year-old woman is referred with 'panic attacks': five months of episodes of pounding heartbeat, shaking hands and feeling unbearably hot, several of which…

Psychiatry · Clinical rotations · middle twist

A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…

Ophthalmology · Clinical rotations · common

A 43-year-old woman has had two days of boring pain behind the right eye and, since this morning, double vision. Her right upper lid now covers the pupil and sh…

Ophthalmology · Pre-internship · middle twist

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 54-year-old Aboriginal man attends his general practice in a regional town for a diabetes review. Type 2 diabetes was diagnosed four years ago. His HbA1c is 5…

Ophthalmology · Clinical rotations · niche

A 28-year-old man is stung by a bee in a hospital car park. In the emergency department he has generalised urticaria, audible wheeze and a blood pressure of 84/…

Acute Care · Pre-internship · middle twist

A 58-year-old man is seen in a pre-admission clinic before a hernia repair. He weighs 138 kg and his upper arm circumference is 42 cm. The nurse records 176/98…

Acute Care · Clinical rotations · middle twist

A 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Acute Care · Clinical rotations · middle twist

A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…

Acute Care · Pre-internship · niche

A 62-year-old man wakes at 5 am with swelling of his lips and tongue that has worsened over three hours. He ate prawns and drank a glass of wine at a restaurant…

Acute Care · Clinical rotations · middle twist

A 4-year-old girl has had puffy eyelids each morning for two weeks and now has swollen legs and a distended abdomen. Her blood pressure is 96/58 mmHg. Urine tes…

Physiology · Foundations · common

A 68-year-old man with a 20-year history of hypertension is examined before elective hernia repair. His pulse is regular at 72 beats per minute. With the bell o…

Physiology · Foundations · middle twist

A 35-year-old woman at 35 weeks of pregnancy presents with vomiting, malaise and jaundice. She is normotensive, has no proteinuria and has mild right upper quad…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 46-year-old woman has a body mass index of 32 kg/m² and treated hypertension. Her mother developed type 2 diabetes at 58 years of age. She has no polyuria, po…

Endocrine and Metabolic · Clinical rotations · middle twist

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 35-year-old primigravida at 37 weeks’ gestation is found to have blood pressure readings of 148/96 and 146/94 mmHg 4 hours apart. Urine protein is 2+, platele…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 31-year-old woman at 34 weeks’ gestation presents with a severe frontal headache and flashing lights. Her blood pressure is 176/114 mmHg on two measurements 1…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 63-year-old woman has three sudden episodes over two days of dizziness followed by double vision, slurred speech and veering to the left; each episode lasted…

Neurology · Clinical rotations · common