Results for “potassium”

A 77-year-old woman is brought to the emergency department by her daughter because she has become confused and unsteady over three days. Five weeks ago her gene…

Psychiatry · Clinical rotations · middle twist

A 15-year-old girl has lost 12 kg over five months and eats about 600 kcal a day. She is alert, has attended school all week, and her parents can start family-b…

Psychiatry · Pre-internship · middle twist

A 16-year-old boy with anorexia nervosa weighing 39 kg was admitted three days ago and nasogastric feeding was commenced and increased daily. He has received th…

Psychiatry · Pre-internship · niche

A 26-year-old woman with a two-year eating disorder is admitted with cramps and profound weakness. She weighs 58 kg and has not lost weight. She denies vomiting…

Psychiatry · Pre-internship · niche

A 24-year-old primary school teacher is referred because of painless swelling at the angles of both jaws over four months. She is 165 cm tall and weighs 61 kg,…

Psychiatry · Clinical rotations · middle twist

A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…

Acute Care · Pre-internship · middle twist

A 74-year-old woman is on day 4 after an open right hemicolectomy. Sodium chloride 0.9% 1 L eight-hourly, charted in the emergency department before her operati…

Acute Care · Pre-internship · common

A 71-year-old man is on day 2 after a Hartmann procedure for perforated diverticulitis. He remains nil by mouth and his nasogastric tube has drained 1400 mL in…

Acute Care · Pre-internship · niche

A 58-year-old man was admitted 36 hours ago with severe acute pancreatitis and has been given 7 litres of sodium chloride 0.9%. He is alert and normotensive, is…

Acute Care · Clinical rotations · middle twist

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 well 24-year-old woman has routine blood tests before starting a combined oral contraceptive. She takes no medication and her blood pressure is 112/70 mmHg. B…

Acute Care · Clinical rotations · middle twist

A 58-year-old man is receiving intravenous vancomycin for a prosthetic joint infection through a 20 gauge cannula in the dorsum of the left hand. Six hours into…

Acute Care · Clinical rotations · middle twist

A 46-year-old woman is admitted with two days of vomiting and lightheadedness. Her regular tablets are alendronate, esomeprazole and prednisolone, all of which…

Acute Care · Pre-internship · middle twist

A 46-year-old man with osteoarthritis is brought in three hours after taking twenty-four modified-release paracetamol tablets, each 665 mg, at one sitting. He w…

Acute Care · Clinical rotations · niche

A 76-year-old man taking ramipril and spironolactone attends with three days of vomiting and increasing lethargy. He is drowsy but rousable. Pulse is 42/min and…

Acute Care · Pre-internship · common

A 62-year-old man collapses in the emergency department waiting room. He is pulseless and the monitor shows ventricular fibrillation. Chest compressions are in…

Acute Care · Clinical rotations · common

A 5-year-old girl weighing 20 kg is admitted with right lower lobe pneumonia. She is febrile at 38.9 degrees Celsius, saturating 93% on 2 litres per minute of o…

Acute Care · Pre-internship · middle twist

A 22-year-old woman is brought to the emergency department 30 minutes after an argument at home, breathing rapidly and deeply. She complains of tingling around…

Physiology · Foundations · middle twist

A 58-year-old man is freed after six hours trapped beneath a collapsed brick wall. He is alert, and both thighs are swollen and tender. He reports tingling in b…

Physiology · Foundations · middle twist

A 46-year-old labourer is freed after six hours trapped beneath a collapsed brick wall. Both thighs are tense, swollen and tender, and he cannot move his toes.…

Physiology · Foundations · middle twist