Results for “respiratory”

A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…

Acute Care · Clinical rotations · common

You are the intern on night cover. At 02:00 the nurse asks you to see a 68-year-old man on the second night after a right hemicolectomy. His respiratory rate is…

Acute Care · Pre-internship · middle twist

A 7-year-old boy is brought to the emergency department because he has been breathing hard since the morning. He has vomited repeatedly for two days and says hi…

Acute Care · Clinical rotations · middle twist

In late July a 34-year-old man attends with both his housemates. All three have had headache, nausea and poor concentration that build up through each evening a…

Acute Care · Clinical rotations · middle twist

A 58-year-old man is admitted with three days of fever and a productive cough. He weighs 138 kg, uses continuous positive airway pressure at home for witnessed…

Acute Care · Pre-internship · middle twist

You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson…

Acute Care · Clinical rotations · common

A 46-year-old man who came to Australia from South Sudan eight years ago is on the fourth day of treatment for community-acquired pneumonia. Asked by the nurse…

Acute Care · Pre-internship · niche

An 84-year-old woman is on the ward on the evening of the first day after hemiarthroplasty for a fractured neck of femur. She has a morphine patient-controlled…

Acute Care · Clinical rotations · middle twist

A 63-year-old man collapses in an emergency department waiting room. He is shocked once for ventricular fibrillation and a palpable pulse returns after four min…

Acute Care · Pre-internship · middle twist

A 24-year-old man is brought to a regional emergency department after his motorcycle struck a guard rail. The ambulance officers report that he lost his output…

Acute Care · Pre-internship · middle twist

A 68-year-old woman is admitted with fever and dysuria. Blood cultures were taken and she received gentamicin and amoxicillin within 40 minutes of arrival. She…

Acute Care · Pre-internship · middle twist

A 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Acute Care · Clinical rotations · middle twist

A 24-year-old motorcyclist is brought in thirty minutes after a high-speed collision. Blood is pulsing from a deep laceration on the medial aspect of his left t…

Acute Care · Pre-internship · middle twist

A 31-year-old man is brought in after his utility vehicle struck a tree at speed. He is pale and cold and speaks in short phrases. Heart rate 132/min, blood pre…

Acute Care · Clinical rotations · common

A 68-year-old man presents with two days of rigors and right flank pain and is confused on arrival. Temperature 38.8 °C, respiratory rate 26/min, heart rate 118…

Acute Care · Pre-internship · middle twist

A 19-year-old woman walks into a metropolitan emergency department with her sister ninety minutes after swallowing thirty modified-release paracetamol tablets.…

Acute Care · Clinical rotations · middle twist

A 52-year-old man who lives alone is found drowsy on his kitchen floor and brought in by ambulance. He drinks heavily, is visibly thin, and his neighbour says h…

Acute Care · Pre-internship · middle twist

A 26-year-old woman is brought in three hours after taking about 40 alprazolam tablets with wine. She sleeps but rouses to a loud voice, gags on an oropharyngea…

Acute Care · Pre-internship · niche

A 74-year-old man on the orthopaedic ward is found drowsy six hours after his first dose of slow-release oxycodone for a fractured neck of femur. He rouses brie…

Acute Care · Pre-internship · middle twist

A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where…

Acute Care · Clinical rotations · common