Results for “stroke”

A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…

Emergency and Toxicology · Pre-internship · common

A 41-year-old woman presents with sudden right arm weakness and difficulty speaking. Her partner saw rhythmic jerking of the right hand for 90 seconds followed…

Neurology · Clinical rotations · common

A 48-year-old man has a large right middle cerebral artery infarction despite reperfusion treatment. Twenty-four hours later he becomes increasingly drowsy, dev…

Neurology · Clinical rotations · middle twist

A 70-year-old woman is recovering from a small ischaemic stroke and is found to have persistent atrial fibrillation. She has normal renal function and no eviden…

Cardiovascular · Clinical rotations · common

A 66-year-old man develops abrupt spinning vertigo and vomiting while gardening. Six hours later he remains unable to stand without support; examination shows h…

Neurology · Clinical rotations · middle twist

A 72-year-old woman with hypertension reports three episodes in the past week in which the vision in her right eye became obscured from the top down, each lasti…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 79-year-old woman with a previous stroke develops fever, cough and a new right lower-zone infiltrate 36 hours after vomiting during a meal. She is alert, has…

Infectious Diseases · Clinical rotations · middle twist

A 78-year-old man presents with an anterior ST-elevation myocardial infarction at a hospital where primary percutaneous coronary intervention cannot be delivere…

Cardiovascular · Clinical rotations · middle twist

A 34-year-old woman who is breastfeeding at four weeks after birth requests contraception. She has migraine with visual aura and reports that her periods were p…

Obstetrics and Gynaecology · Clinical rotations · common

A 38-year-old woman presents with two days of very heavy bleeding during an otherwise predictable menstrual cycle. Her blood pressure is 118/72 mmHg, she is not…

Obstetrics and Gynaecology · Clinical rotations · common

A 29-year-old man presents with palpitations and light-headedness. His pulse is irregular at 190 beats per minute and the blood pressure is 126/74 mmHg. The ECG…

Cardiovascular · Clinical rotations · niche

A 32-year-old woman presents seven days after an uncomplicated delivery with five sudden, severe headaches over 48 hours. Each begins abruptly during bathing or…

AMC · Clinical rotations · middle twist

A 38-year-old man develops left-sided neck pain and a new unilateral headache after forceful neck stretching. He has a mild left ptosis and a smaller left pupil…

AMC · Clinical rotations · common

A 29-year-old woman presents with 10 days of progressive daily headache and brief episodes of greying vision. She is six weeks postpartum and takes a combined o…

AMC · Clinical rotations · middle twist

A 46-year-old woman develops a sudden, severe headache while lifting a suitcase. It reaches maximal intensity within seconds and is followed by vomiting and nec…

AMC · Clinical rotations · common

A 62-year-old man undergoes left ventricular pressure-volume loop analysis during cardiac catheterisation. Before an intervention, his end-diastolic volume is 1…

Biomedical Science · Mechanisms of disease · common

A 21-year-old man collapses at the 14 km mark of a city fun run on a 34°C day. In the trackside medical tent he is confused and agitated with a Glasgow Coma Sca…

Emergency and Toxicology · Pre-internship · common

A 74-year-old man is brought to his general practitioner by his daughter, who is worried about his memory over the past three months. He has stopped attending h…

Geriatrics and Palliative Care · Clinical rotations · common

A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 28-year-old primigravida gives birth vaginally at 38 weeks gestation. During labour she was commenced on oral labetalol for blood pressure readings of 160/108…

Obstetrics and Gynaecology · Clinical rotations · common