Results for “hypertension”

A 72-year-old woman presents with an ulcer above her left medial malleolus that has been present for eight weeks. She has type 2 diabetes and smoked a packet of…

Cardiovascular · Clinical rotations · middle twist

A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…

Rheumatology and Musculoskeletal · Clinical rotations · common

A 72-year-old man presents three days after an episode of weakness of his left arm and leg with slurred speech, which resolved completely within 20 minutes. He…

Neurology · Clinical rotations · common

A 72-year-old man with hypertension and a 40 pack-year smoking history presents with sudden severe left flank pain radiating to the groin that began one hour ag…

Cardiovascular · Clinical rotations · common

A 66-year-old man with ischaemic cardiomyopathy attends for review. Echocardiography shows a left ventricular ejection fraction of 30%, and he remains breathles…

Cardiovascular · Clinical rotations · common

A 38-year-old man is reviewed because his blood pressure remains elevated despite perindopril 10 mg and amlodipine 10 mg daily. He feels well, sleeps soundly wi…

Cardiovascular · Clinical rotations · common

A 52-year-old man has a blood pressure of 162/98 mmHg despite adequate doses of perindopril, amlodipine and hydrochlorothiazide, with good adherence confirmed.…

Endocrine and Metabolic · Clinical rotations · middle twist

A 23-year-old man presents because his urine has turned dark brown, which he noticed this morning. Two days ago he developed a sore throat and runny nose, which…

Renal, Urology and Electrolytes · Clinical rotations · common

A 76-year-old woman taking perindopril for hypertension and regular ibuprofen for knee osteoarthritis presents after three days of vomiting and watery diarrhoea…

Renal, Urology and Electrolytes · Clinical rotations · common

A 58-year-old man is reviewed after routine blood tests show ALT 68 U/L (<40), AST 44 U/L (<40) and GGT 80 U/L (<60). He has type 2 diabetes and hypertension, h…

Gastroenterology and Hepatology · Clinical rotations · common

A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 29-year-old man presents with facial puffiness, dark urine and ankle swelling. He had an impetigo-like skin infection 18 days ago, and his blood pressure is 1…

Renal, Urology and Electrolytes · Clinical rotations · common

A 64-year-old woman has had an estimated glomerular filtration rate of 26 mL/min/1.73 m² on two measurements 4 months apart. Her urine albumin:creatinine ratio…

Haematology and Oncology · Pre-internship · middle twist

A 52-year-old man reports a 9-month history of gradually worsening erectile difficulty and reduced sexual desire. He has obesity, hypertension and type 2 diabet…

Cardiovascular · Clinical rotations · middle twist

An 82-year-old man has had two falls since his blood pressure treatment was intensified. His seated blood pressure is 138/72 mmHg, falling to 108/60 mmHg after…

Geriatrics and Palliative Care · Clinical rotations · common

A 52-year-old man presents to the emergency department with sudden onset of vomiting blood and lightheadedness. He reports passing black stools over the past fe…

Year 4 · Clinical rotations · common

A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…

Year 4 · Clinical rotations · common

A 76-year-old man presents to the emergency department with a 6-hour history of passing large volumes of bright red blood per rectum. He feels lightheaded and f…

Year 4 · Clinical rotations · middle twist

A 65-year-old man presents with purple spots on his forearms and hands that appeared over the past few days. He denies pain, itching, or trauma. His medical his…

Year 1 · Mechanisms of disease · middle twist

A 72-year-old man with a history of hypertension and heart failure with reduced ejection fraction (HFrEF) presents the emergency department due to sudden onset…

Year 4 · Clinical rotations · middle twist