Results for “liver”

A 62-year-old man collapses in a hospital foyer and is found to be in ventricular fibrillation. Compressions have been continuous, adrenaline 1 mg has been give…

Acute Care · Pre-internship · niche

A 54-year-old man presents to a metropolitan hospital with a catheter laboratory after seventy minutes of central chest pain, which is continuing. His blood pre…

Acute Care · Pre-internship · middle twist

A 68-year-old woman is brought in from a residential aged care facility with fever and new confusion. Her temperature is 38.9 degrees Celsius, blood pressure 82…

Acute Care · Pre-internship · 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

A 47-year-old man chokes on a piece of bread roll while talking at a workplace lunch. He coughs hard for a few seconds, then the coughing becomes silent and his…

Acute Care · Clinical rotations · middle twist

You are the first doctor to reach a 68-year-old man found slumped in a chair in the day therapy unit. He does not respond to voice or to a firm shake, he makes…

Acute Care · Pre-internship · middle twist

A 7-month-old infant on a children's ward is found unresponsive and making occasional gasps. You and the paediatric registrar, both trained in paediatric basic…

Acute Care · Pre-internship · niche

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Acute Care · Clinical rotations · common

A 29-year-old woman, gravida 2 para 1, is 13 weeks and 2 days pregnant by a dating scan at 8 weeks. She has had six hours of moderate vaginal bleeding and cramp…

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 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…

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 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 17-year-old girl weighing 55 kg says she swallowed 45 tablets of immediate-release paracetamol 500 mg about ten hours ago after an argument with her partner.…

Acute Care · Pre-internship · middle twist

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 28-year-old man jumped from a first-floor window to escape a house fire and has blistered burns over about 30% of his body surface. Forty-five minutes after t…

Acute Care · Pre-internship · niche

A 58-year-old man is treated in the emergency department for a Colles fracture sustained tripping over a gutter. He smokes 25 cigarettes a day and lights the fi…

Acute Care · Clinical rotations · middle twist

A 41-year-old bricklayer attends the emergency department after cutting his forearm on a broken glass door at home. The wound is cleaned and sutured. On routine…

Acute Care · Clinical rotations · middle twist