Results for “liver”

A 58-year-old man was admitted three and a half days ago after a fall from a ladder; his wife said he drinks nightly at the club. He was settled and oriented fo…

Psychiatry · Clinical rotations · middle twist

You are the intern covering the orthopaedic ward at 2 am. A 79-year-old man, two days after hemiarthroplasty for a fractured neck of femur, is climbing over the…

Psychiatry · Pre-internship · middle twist

A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…

Psychiatry · Pre-internship · middle twist

A 22-year-old woman is admitted with three weeks of rapidly worsening persecutory beliefs and speech that is increasingly hard to follow. In the last week her f…

Psychiatry · Pre-internship · niche

A 74-year-old man who came to Australia from Vietnam at the age of 40 is brought to the general practice by his daughter. Over two years he has become repetitiv…

Psychiatry · Clinical rotations · middle twist

A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…

Psychiatry · Clinical rotations · middle twist

A 38-year-old woman is describing the end of her marriage at an outpatient appointment. She says she is fine about it now, honestly, while her voice shakes and…

Psychiatry · Clinical rotations · middle twist

A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…

Psychiatry · Pre-internship · middle twist

A 58-year-old man attends his general practice for review of his mood. Asked how he has been sleeping, he begins with the layout of his bedroom, moves on to the…

Psychiatry · Clinical rotations · common

A 54-year-old Aboriginal man attends his general practice in a regional town for a diabetes review. Type 2 diabetes was diagnosed four years ago. His HbA1c is 5…

Ophthalmology · Clinical rotations · niche

A 71-year-old man says the vision in his right eye switched off ninety minutes ago, without pain. He can count fingers only on that side. The right pupil dilate…

Ophthalmology · Pre-internship · middle twist

You are the intern in a Perth emergency department at 0200. Paramedics have just handed over a 78-year-old woman brought in after a fall at home, using the stru…

Acute Care · Clinical rotations · common

A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…

Acute Care · Pre-internship · middle twist

A 26-year-old man who moved to Australia two years ago stands on a nail while clearing out a chicken run. He presents 30 hours later with a deep puncture throug…

Acute Care · Pre-internship · middle twist

You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…

Acute Care · Pre-internship · niche

A 74-year-old man with type 2 diabetes is brought to the emergency department by his wife because he has become sweaty, tremulous and muddled at home. His capil…

Acute Care · Pre-internship · niche

A 74-year-old woman is on day 4 after an open right hemicolectomy. Sodium chloride 0.9% 1 L eight-hourly, charted in the emergency department before her operati…

Acute Care · Pre-internship · common

A 70 kg man is brought to the emergency department three hours after his clothing caught fire at a campsite. He has deep burns covering 40% of his total body su…

Acute Care · Pre-internship · niche

A 68-year-old woman weighing 65 kg is in the emergency department with urinary sepsis. Intravenous antibiotics were given within 30 minutes of arrival and she h…

Acute Care · Pre-internship · middle twist

A 58-year-old man was admitted 36 hours ago with severe acute pancreatitis and has been given 7 litres of sodium chloride 0.9%. He is alert and normotensive, is…

Acute Care · Clinical rotations · middle twist