Results for “dead space”
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A 15-year-old girl in the emergency department tells you, when seen alone, that for the past month she has often thought she would be better off dead. She has n…
Paediatrics · Pre-internship · middle twist
A 16-year-old boy has had a moderate depressive episode for five months. He has completed eight sessions of cognitive behavioural therapy with a psychologist an…
Paediatrics · Pre-internship · middle twist
A 10-year-old boy is seen in a paediatric outpatient clinic. Over six months he has become irritable, has stopped playing soccer, which he loved, and takes over…
Paediatrics · Pre-internship · common
A 16-year-old girl is seen alone at a youth health service, where she has been attending for low mood. Today she tells you that for the past fortnight she has b…
Psychiatry · Pre-internship · middle twist
A 58-year-old woman who came to Australia from Afghanistan four years ago is brought to the emergency department by her adult son. For a week she has cried most…
Psychiatry · Pre-internship · middle twist
A 14-year-old boy is brought in by his mother because of his behaviour over the past two months. Since his parents separated he has sworn at teachers, walked ou…
Psychiatry · Clinical rotations · middle twist
An 81-year-old woman has a severe depressive episode with nihilistic delusions. She has refused all food and fluid for four days and is dehydrated, saying that…
Psychiatry · Pre-internship · niche
A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooki…
Psychiatry · Clinical rotations · common
A 16-year-old girl has had major depression for five months. She has completed 10 sessions of cognitive behavioural therapy but still cannot attend school, has…
Psychiatry · Pre-internship · middle twist
A 47-year-old woman, whose mother died six weeks ago, tells her general practitioner that she has three times seen and spoken with her mother in the family home…
Psychiatry · Clinical rotations · middle twist
A 62-year-old woman brought to the emergency department after a fall at home tells the registrar that her recent illness was sent by an ancestor spirit, and tha…
Psychiatry · Pre-internship · middle twist
A 74-year-old woman is referred three months after her husband died. Two or three times a week, while she is standing at the kitchen sink, she hears him call he…
Psychiatry · Clinical rotations · middle twist
A 74-year-old man collapses in a shopping centre and is brought to the emergency department in cardiac arrest. Resuscitation is unsuccessful and he is declared…
Acute Care · Pre-internship · middle twist
A 34-year-old bushwalker is winched out of a gully in the Stirling Range after a night in cold rain. He is unresponsive and pulseless. Cardiopulmonary resuscita…
Acute Care · Pre-internship · middle twist
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 19-year-old man sustains a closed fracture of the right tibial shaft in a football tackle. The leg was grossly angulated at the scene and was straightened bef…
Anatomy · Foundations · middle twist
A 68-year-old man develops sudden pleuritic chest pain and tachypnoea after prolonged immobility. Arterial blood gas analysis on room air shows pH 7.48, PaCO2 3…
Biomedical Science · Mechanisms of disease · common