Results for “cough”

A 9-month-old girl was eating grapes when she suddenly began to struggle. When you reach her she is conscious, silent, not crying and not coughing, with her mou…

Paediatrics · Clinical rotations · common

A 5-month-old girl has had a fever of 39.2 °C for 24 hours with vomiting and irritability, and no cough, runny nose or rash. Examination is otherwise unremarkab…

Paediatrics · Clinical rotations · middle twist

A 2-year-old boy, fully immunised, wakes at 2 am with a harsh, seal-like cough and noisy breathing. He has had a runny nose for a day. In the department he has…

Paediatrics · Clinical rotations · common

A 4-month-old girl, born at term, has had three days of a runny nose and cough and today is breathing fast and feeding poorly, taking about half her usual volum…

Paediatrics · Clinical rotations · common

A 7-month-old girl has had fever above 39 °C for seven days despite paracetamol. She is irritable and difficult to console. Her eyes are red without discharge,…

Paediatrics · Clinical rotations · middle twist

A 34-year-old man who injects heroin presents with two weeks of fevers, sweats, a cough and pleuritic chest pain on both sides. His temperature is 39.2 °C, puls…

Cardiovascular · Clinical rotations · middle twist

A 54-year-old woman receiving adjuvant docetaxel and cyclophosphamide for breast cancer presents nine days after her second cycle with a temperature of 38.4 °C,…

Haematology and Oncology · Pre-internship · common

A 44-year-old man who works on the kill floor of an abattoir in central Queensland presents with six days of high fevers, drenching night sweats, severe headach…

Infectious Diseases · Clinical rotations · middle twist

A 34-year-old woman describes 18 months of intermittent difficulty swallowing. From the beginning both liquids and solids have been affected, and it is worse wh…

Gastroenterology and Hepatology · Clinical rotations · common

A 4-year-old boy is brought to a Perth emergency department with a swollen, bruised left forearm. At triage his mother said he fell from a kitchen chair. When y…

Paediatrics · Clinical rotations · middle twist

You are working in a busy regional emergency department on a winter evening. Five children are waiting and the nurse in charge asks which one should be brought…

Paediatrics · Clinical rotations · common

At a six-week check, the mother of a healthy term baby says he brings up milk after most feeds and seems more settled when he is not flat on his back. Her own m…

Paediatrics · Clinical rotations · common

A father telephones the emergency department. Twenty minutes ago he found his 20-month-old daughter with the back of the television remote prised open and one o…

Paediatrics · Pre-internship · middle twist

A mother telephones her general practice mid-morning. Her two-year-old daughter has been found in the laundry sitting beside an open bottle of a garden product,…

Paediatrics · Clinical rotations · common

A two-year-old boy is brought to a regional emergency department 30 minutes after drinking from a soft drink bottle in the garage that his father had filled wit…

Paediatrics · Clinical rotations · middle twist

A 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…

Paediatrics · Pre-internship · common

A 5-year-old boy with spastic quadriplegic cerebral palsy is reviewed in a community clinic. His mother says every meal now takes 45 minutes, that he coughs and…

Paediatrics · Clinical rotations · middle twist

A 16-month-old girl who arrived in Australia from overseas six months ago is brought to a general practice because she is not gaining weight. Her weight has fal…

Paediatrics · Clinical rotations · middle twist

A 2-year-old boy is brought to a regional emergency department at 3 am with two days of runny nose and a harsh barking cough. Forty minutes ago he was given dex…

Paediatrics · Pre-internship · middle twist

A 3-year-old girl has had fever and cough for two days. She is alert, sitting up and drinking, and her mother has a car and lives ten minutes from the hospital.…

Paediatrics · Clinical rotations · common