Results for “ARDS”

A 74-year-old man is reviewed in a memory clinic. Over the past year he has twice been brought home by police after becoming lost while driving to familiar plac…

Psychiatry · Pre-internship · middle twist

A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…

Psychiatry · Clinical rotations · middle twist

You are a final-year medical student on a Perth psychiatry ward. During the ward round the registrar tells a nursing student, in front of the patient and the wh…

Psychiatry · Pre-internship · middle twist

A 19-year-old man is an inpatient with a first episode of psychosis. He has capacity and told the team yesterday, without being asked, that his family are not t…

Psychiatry · Pre-internship · middle twist

You are a psychiatry registrar in a country town in Western Australia. A close friend from your football club telephones you at home. He has slept badly for thr…

Psychiatry · Pre-internship · middle twist

A 79-year-old woman with mild Alzheimer disease is an inpatient with a severe depressive episode. Electroconvulsive therapy is proposed. An hour after the discu…

Psychiatry · Clinical rotations · middle twist

A 46-year-old woman was admitted as a voluntary patient to an authorised psychiatric hospital in Perth three days ago with a severe depressive episode. This mor…

Psychiatry · Pre-internship · middle twist

A 34-year-old woman attends a Perth general practice for insomnia. On direct questioning she says her partner pushed her into a wall last week, checks her phone…

Psychiatry · Pre-internship · middle twist

A 7-year-old boy is brought to a Perth emergency department by his mother with a spiral fracture of the left humerus. He also has a healing circular burn on the…

Psychiatry · Pre-internship · middle twist

A 74-year-old woman has been in hospital for eleven days with a severe depressive episode. She is convinced her bowel has rotted away and that she is being puni…

Psychiatry · Clinical rotations · middle twist

A 46-year-old man taking venlafaxine 225 mg daily for depression is admitted after a fall at work. The orthopaedic team started slow-release tramadol two days a…

Psychiatry · Pre-internship · niche

A 15-month-old girl is observed in a research playroom during brief separations from and reunions with her mother. On each reunion she runs towards her mother,…

Psychiatry · Clinical rotations · middle twist

An 84-year-old man with mild Alzheimer disease is brought to the emergency department by his daughter. For two days he has been drowsy after lunch and then agit…

Psychiatry · Pre-internship · middle twist

A 16-year-old boy is brought to the emergency department by police after he held a kitchen knife towards his mother during an argument about his phone. He is no…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy is brought by his father because of daily shouting matches at home over the past 18 months. He argues with every request, swears at his parent…

Psychiatry · Clinical rotations · middle twist

A 38-year-old man on remand is referred to the prison health service for "anger management". He is charming and articulate. He was expelled from school at 13, h…

Psychiatry · Clinical rotations · common

A 17-year-old boy is seen in the emergency department under police guard after seriously assaulting a stranger. Since primary school he has bullied other childr…

Psychiatry · Pre-internship · middle twist

A 15-year-old girl is brought to a regional emergency department by her mother after fainting at school. Over five months she has cut all fats from her diet and…

Psychiatry · Pre-internship · middle twist

A 15-year-old girl has lost 7 kg over eight months by cutting out fats and running before school, and is frightened of gaining weight. She is 160 cm tall and we…

Psychiatry · Clinical rotations · common

A 23-year-old law student describes episodes that begin during arguments with her partner. She suddenly feels as though she has floated up to the ceiling and is…

Psychiatry · Clinical rotations · common