Results for “atrial fibrillation”

A 79-year-old man on apixaban for atrial fibrillation is brought in by his wife. Over three weeks he has become slower, sleeps much of the day, has twice lost t…

Neurology · Clinical rotations · common

A 66-year-old man with atrial fibrillation presents 40 minutes after the sight in his left eye "went out like a light" while reading; there was no pai…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 72-year-old woman with atrial fibrillation who stopped her anticoagulant six months ago after a nosebleed wakes at 3 am with sudden severe pain in her left le…

Surgery and Perioperative Care · Pre-internship · middle twist

A 52-year-old Aboriginal woman from a community in Cape York presents with a week of palpitations and breathlessness on walking to the store. She had several ep…

Cardiovascular · Pre-internship · middle twist

An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…

Psychiatry · Pre-internship · common

A 73-year-old woman presents with four months of worry, restlessness and difficulty sleeping. She has never been an anxious person and nothing in her circumstan…

Psychiatry · Clinical rotations · middle twist

A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…

Psychiatry · Clinical rotations · common

A 76-year-old man with dementia with Lewy bodies has become convinced that his son is stealing from him and has started accusing and shoving care staff. Over th…

Psychiatry · Pre-internship · niche

An 86-year-old man who lives alone is brought to the emergency department by his daughter because he has been muddled for two days and twice called her by his l…

Psychiatry · Pre-internship · middle twist

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

A 78-year-old woman is being discharged after an admission with melaena. She takes apixaban for atrial fibrillation. Gastroscopy showed a bleeding duodenal ulce…

Acute Care · Clinical rotations · middle twist

An 82-year-old woman is admitted overnight with a fractured neck of femur after a fall at home. She has had no chest pain, breathlessness or palpitations. Preop…

Acute Care · Pre-internship · niche

A 74-year-old man on a surgical ward reports palpitations on the second day after a right hemicolectomy. He is alert and comfortable, with a blood pressure of 1…

Acute Care · Clinical rotations · common

A 58-year-old man is seen in a pre-admission clinic before a hernia repair. He weighs 138 kg and his upper arm circumference is 42 cm. The nurse records 176/98…

Acute Care · Clinical rotations · middle twist

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 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 34-year-old man is brought to the emergency department six hours after his general practitioner increased his sertraline and added tramadol for back pain. He…

Acute Care · Clinical rotations · middle twist

A 74-year-old woman is being discharged from the emergency department after a fall at home with an undisplaced pubic ramus fracture on radiography. She can weig…

Acute Care · Pre-internship · middle twist

A 72-year-old man with atrial fibrillation notices sudden, profound loss of vision in his right eye while eating breakfast. There is no pain, headache or preced…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…

Cardiovascular · Clinical rotations · common