Results for “ARDS”

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 47-year-old man is reviewed in the cardiology clinic after a single episode of loss of consciousness while sitting at his desk. There was no warning and no pa…

Acute Care · Pre-internship · niche

A 23-year-old university student is reviewed after being given a salbutamol inhaler by a locum six months ago. He uses it about three times most weeks for chest…

Acute Care · Clinical rotations · 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 24-year-old woman rolled her right ankle landing awkwardly at netball two hours ago. She took four steps immediately afterwards and can take four steps now, l…

Acute Care · Clinical rotations · common

A 71-year-old woman who speaks only Vietnamese is ready to leave the emergency department after chest pain with normal troponin results. She is to start a new m…

Acute Care · Pre-internship · common

An 84-year-old woman is brought to the emergency department after tripping on a rug at home. Radiographs of her wrist and hip show no fracture. She has not been…

Acute Care · Clinical rotations · common

An intern covering a Perth hospital's wards and its residential aged care liaison service is asked about five deaths in one afternoon. All five are Western Aust…

Acute Care · Clinical rotations · middle twist

A 71-year-old woman attends the emergency department with 10 hours of vomiting that began after a family barbecue. She has Parkinson disease treated with levodo…

Acute Care · Clinical rotations · middle twist

A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…

Acute Care · Pre-internship · middle twist

A 62-year-old man collapses in the emergency department waiting room. He is pulseless and the monitor shows ventricular fibrillation. Chest compressions are in…

Acute Care · Clinical rotations · common

A 46-year-old man attends the clinic nine months after cardiac transplantation. He feels well, has no chest pain and walks four kilometres most days. He takes n…

Physiology · Foundations · middle twist

A 43-year-old man is brought in 18 hours after a meal that included home-bottled vegetables. Over the past six hours his eyelids have drooped, his vision has do…

Physiology · Foundations · middle twist

A 46-year-old labourer is freed after six hours trapped beneath a collapsed brick wall. Both thighs are tense, swollen and tender, and he cannot move his toes.…

Physiology · Foundations · middle twist

A 34-year-old man is seen in the medical tent 20 minutes after finishing a marathon run on a cool, overcast morning. He drank water at every drink station. He h…

Physiology · Foundations · common

A 76-year-old man is admitted after falling down four steps at home. He weighs 75 kg. He has fractures of the left fifth to eighth ribs and it hurts him to brea…

Physiology · Foundations · middle twist

A 24-year-old man reports 12 months of increasing breathlessness on exertion. He climbs stairs slowly and pushes on his thighs to stand from a low chair. His co…

Physiology · Foundations · niche

A 71-year-old woman has coughed violently for 3 weeks. Yesterday, during a bout of coughing, she felt sudden tearing pain in the right lower abdomen and now has…

Anatomy · Foundations · middle twist

A 19-year-old man has had 20 hours of pain that began around the umbilicus and has settled in the right lower abdomen, with anorexia and a temperature of 37.9 C…

Anatomy · Foundations · middle twist

A 58-year-old builder has noticed a bulge in the right groin over 6 months. It appears when he coughs or lifts and disappears when he lies down. On standing, th…

Anatomy · Foundations · middle twist