Results for “neurology”

An 18-month-old boy is brought by his parents because he has no words. He walked at 13 months and runs and climbs well. He does not point to show things, does n…

Paediatrics · Clinical rotations · middle twist

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 61-year-old woman reports two weeks of brief episodes of the room spinning, lasting less than 30 seconds, that happen when she rolls over in bed to the right,…

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

A 45-year-old man wakes to find the left side of his face drooping. When he tries to raise his eyebrows only the right side moves, and he cannot fully close his…

Neurology · Clinical rotations · common

A 41-year-old woman presents with a headache that began abruptly while she was lifting weights at the gym yesterday evening, reaching maximum intensity within s…

Neurology · Clinical rotations · common

A 72-year-old woman presents with three weeks of a new, persistent right-sided headache. Brushing her hair on that side has become painful, and her jaw begins t…

Rheumatology and Musculoskeletal · Pre-internship · middle twist

A 26-month-old girl with no known epilepsy is brought in convulsing. The seizure began 14 minutes ago; paramedics gave buccal midazolam at six minutes and a fur…

Paediatrics · Pre-internship · middle twist

A 6-year-old girl is referred because her teacher has noticed her stopping mid-sentence and staring for a few seconds, then carrying on as though nothing had ha…

Paediatrics · Clinical rotations · middle twist

A boy is born at 39 weeks weighing 2.5 kg to a woman with epilepsy who took a single antiepileptic drug throughout the pregnancy. He has a broad flat nasal brid…

Paediatrics · Clinical rotations · niche

A 16-year-old girl with focal epilepsy attends a general practice alone and asks for contraception. She has been seizure-free for two years on carbamazepine and…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl has had six episodes over three months in which she falls to the floor and her arms and legs thrash irregularly for fifteen to twenty minutes…

Paediatrics · Clinical rotations · middle twist

A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours before dawn, he shouts, kicks and swings his arms whil…

Psychiatry · Pre-internship · middle twist

A 29-year-old woman was admitted three weeks ago unable to walk. Magnetic resonance imaging of brain and whole spine, nerve conduction studies and cerebrospinal…

Psychiatry · Pre-internship · middle twist

A 22-year-old woman is admitted with three weeks of rapidly worsening persecutory beliefs and speech that is increasingly hard to follow. In the last week her f…

Psychiatry · Pre-internship · niche

A 52-year-old woman wakes with a drooping right eyelid and double vision. She has had a boring pain behind the right eye since yesterday. When the lid is lifted…

Ophthalmology · Clinical rotations · middle twist

A 44-year-old man presents three hours after a sudden severe occipital headache that reached its worst within a minute while he was straining at stool. He vomit…

Acute Care · Pre-internship · middle twist

A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consciousness. He vomited once at the scene and not sin…

Acute Care · Clinical rotations · 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 41-year-old woman develops a daily headache after several weeks of intense exercise. At first it occurred only after she stood for long periods, but it now be…

Neurology · Clinical rotations · common

A 44-year-old woman develops a severe headache while lifting her young child; she says it was already unbearable before she could put the child down. She has vo…

Neurology · Clinical rotations · middle twist