Results for “pituitary”

A 15-year-old girl has never had a period. Her breasts and pubic hair have been fully developed and unchanged for about a year, and she has grown 1 cm in the pa…

Paediatrics · Pre-internship · niche

A 14-year-old boy is brought in by both parents, who are worried that he is the shortest in his year and has not started to change. His height has followed the…

Paediatrics · Clinical rotations · niche

A 7-year-old girl is brought to a general practice because over six months she has developed underarm odour and a few dark hairs in the pubic area. Her mother i…

Paediatrics · Clinical rotations · middle twist

A 58-year-old woman has twice walked into the left-hand door frame this month and has scraped the driver's side of her car. She has noticed nothing wrong with h…

Ophthalmology · Clinical rotations · middle twist

A 43-year-old woman has had two days of boring pain behind the right eye and, since this morning, double vision. Her right upper lid now covers the pupil and sh…

Ophthalmology · Pre-internship · middle twist

A 46-year-old woman is admitted with two days of vomiting and lightheadedness. Her regular tablets are alendronate, esomeprazole and prednisolone, all of which…

Acute Care · Pre-internship · middle twist

A 3-week-old boy is brought with persistent jaundice, poor weight gain and two episodes of jitteriness before feeds. He was born at term with a small penis and…

Paediatrics · Clinical rotations · middle twist

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

An otherwise well 29-year-old woman presents eight days after an uncomplicated vaginal delivery with a headache that has gradually intensified over four days. I…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 49-year-old man develops abrupt retro-orbital pain and vomiting while exercising. In the next hour he becomes drowsy and develops left ptosis with limitation…

AMC · Clinical rotations · middle twist

A 35-year-old woman has palpitations and a 9 kg weight loss over 3 months. Her free thyroxine is 48 pmol/L (reference 10–22 pmol/L), TSH is less than 0.01 mIU/L…

Biomedical Science · Mechanisms of disease · common

A 41-year-old woman has progressive weight gain, proximal muscle weakness and easy bruising. Her 24-hour urinary free cortisol is 780 nmol/day (reference less t…

Biomedical Science · Mechanisms of disease · middle twist

A 41-year-old woman presents nine hours after the onset of a severe headache that struck like a blow to the back of the head while she was lifting weights and r…

Neurology · Clinical rotations · middle twist

A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic c…

Endocrine and Metabolic · Clinical rotations · middle twist

A 44-year-old man has an incidental 8-mm pituitary lesion discovered during MRI for headaches. He has normal visual fields, normal pituitary hormone testing, an…

Endocrine and Metabolic · Clinical rotations · middle twist

A 42-year-old woman has progressive fatigue, reduced appetite and dizziness when standing. Her serum sodium is 127 mmol/L (135–145), potassium is 5.8 mmol/L (3.…

Endocrine and Metabolic · Clinical rotations · common

A 52-year-old man reports a 9-month history of gradually worsening erectile difficulty and reduced sexual desire. He has obesity, hypertension and type 2 diabet…

Cardiovascular · Clinical rotations · middle twist