Results for “steroids”
52 questions found
A 64-year-old woman attends the general practice with six weeks of low mood, tearfulness, broken sleep and loss of interest in everything she used to enjoy. Fiv…
Psychiatry · Pre-internship · middle twist
A 27-year-old man is assessed in the emergency department short-stay unit with three weeks of low mood, waking at 4 am and hopelessness. He has had two similar…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman was admitted three days ago with cellulitis, which is settling on flucloxacillin. Since yesterday she has been muddled at night, insists th…
Psychiatry · Clinical rotations · middle twist
A 76-year-old woman was admitted five days ago with a severe depressive episode. Her general practitioner started amitriptyline 75 mg at night three weeks ago a…
Psychiatry · Pre-internship · middle twist
A 54-year-old restaurateur is brought by her husband with three weeks of elevated mood, sleeping two hours a night and plans to buy a second premises. She has n…
Psychiatry · Clinical rotations · middle twist
A 34-year-old woman arrives 20 minutes after eating a satay skewer at a food van. She has widespread weals, a hoarse voice and expiratory wheeze. Blood pressure…
Acute Care · Pre-internship · 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 24-year-old woman with asthma remains breathless after repeated nebulised salbutamol and ipratropium, intravenous hydrocortisone and oxygen. She can speak onl…
Respiratory · Clinical rotations · common
A 72-year-old woman with newly diagnosed multiple myeloma presents with confusion, constipation and weakness. Her serum calcium is 4.18 mmol/L (2.10–2.60), crea…
Renal, Urology and Electrolytes · 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 46-year-old man wakes with markedly reduced hearing in his right ear and a continuous high-pitched noise. He has no pain, discharge or recent infection, and t…
Emergency and Toxicology · Pre-internship · middle twist
A 47-year-old woman has fatigue, pruritus and intermittent jaundice. Alanine aminotransferase is 680 U/L (5–40), IgG is 31 g/L (7–16), antinuclear and smooth-mu…
Gastroenterology and Hepatology · Clinical rotations · common
A 29-year-old man with asthma is treated for an acute exacerbation with repeated nebulised salbutamol, ipratropium and corticosteroids. Initially he was agitate…
Respiratory · Clinical rotations · middle twist
A 30-year-old woman at 30+2 weeks has hypertension controlled with oral therapy and an ultrasound-estimated fetal weight below the third centile. Umbilical arte…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 33-year-old woman at 33+5 weeks has a blood pressure of 168/112 mmHg on two occasions despite oral treatment. She has persistent right upper quadrant pain; pl…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 59-year-old woman develops sharp central chest pain two days after an uncomplicated ST-elevation myocardial infarction. She says it is worse when she takes a…
Cardiovascular · Mechanisms of disease · middle twist
A 72-year-old woman has developed a new unilateral temporal headache over three weeks. She reports pain when chewing and two recent episodes in which vision in…
AMC · Clinical rotations · middle twist
A 32-year-old woman develops widespread urticaria, lip swelling and wheeze within 15 minutes of eating a satay dish at a restaurant. On arrival of paramedics he…
Emergency and Toxicology · Pre-internship · common
A 9-month-old girl is brought to the emergency department with three days of runny nose and moist cough, and one day of fast, noisy breathing. She is taking abo…
Paediatrics · Clinical rotations · common
A 78-year-old woman presents with sudden painless loss of vision in her right eye on waking this morning. For the past three weeks she has had a right-sided hea…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist