Results for “renal”

A 45-year-old woman with bipolar I disorder, stable on lithium carbonate 1,000 mg nightly for six years with levels consistently 0.7–0.8 mmol/L, presents with t…

Psychiatry and Mental Health · Pre-internship · middle twist

A 10-day-old boy born at term is brought in with two days of poor feeding, vomiting and lethargy, and today is floppy and grey. He is afebrile, with a heart rat…

Paediatrics · Clinical rotations · niche

A 4-year-old boy has had two weeks of puffiness around his eyes that is worst on waking and improves during the day, and for the past few days his ankles have b…

Paediatrics · Clinical rotations · common

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 2-year-old girl is brought in by her mother, who felt a lump in the child's abdomen while bathing her. The child is well, eating normally and has not los…

Paediatrics · Clinical rotations · common

A 12-month-old boy is due for his measles–mumps–rubella, meningococcal ACWY and pneumococcal vaccines. Three months ago he developed hives, facial swelling and…

Paediatrics · Clinical rotations · common

A 24-year-old woman with seven weeks of amenorrhoea and a positive home pregnancy test presents with two days of left-sided lower abdominal pain and light vagin…

Obstetrics and Gynaecology · Pre-internship · middle twist

A 78-year-old man presents with three days of inability to pass urine and a painful lower abdomen, on a background of months of a poor stream and nocturia. A ur…

Renal, Urology and Electrolytes · Pre-internship · niche

A 68-year-old man who smokes 20 cigarettes a day has an ultrasound of the abdomen for vague right upper quadrant discomfort. The gallbladder is normal, but the…

Surgery and Perioperative Care · Clinical rotations · common

A 70 kg man requires debridement and suturing of an 18 cm laceration on his forearm in the emergency department. There is no adrenaline-containing local anaesth…

Emergency and Toxicology · Mechanisms of disease · common

A 62-year-old woman with type 2 diabetes is booked for an elective laparoscopic right hemicolectomy for a caecal cancer in one week. She will be fasting from mi…

Surgery and Perioperative Care · Pre-internship · niche

A 74-year-old man is on day 2 after an emergency Hartmann procedure for perforated diverticulitis. He takes spironolactone and perindopril for heart failure. He…

Renal, Urology and Electrolytes · Pre-internship · common

A 66-year-old woman is on day 8 after an elective total hip replacement and has been receiving subcutaneous enoxaparin 40 mg daily since surgery. Her platelet c…

Haematology and Oncology · Pre-internship · niche

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 61-year-old man presents with 24 hours of severe pain, redness and swelling of his right first metatarsophalangeal joint, left ankle and right knee. He has ha…

Rheumatology and Musculoskeletal · Pre-internship · middle twist

A 31-year-old woman presents with six months of fatigue, nausea and 7 kg of weight loss. She has been adding extra salt to everything and craves potato chips. F…

Endocrine and Metabolic · Clinical rotations · common

A 24-year-old man presents with dark brown urine that began the day after the onset of a sore throat. He recalls two similar episodes in the past two years, eac…

Renal, Urology and Electrolytes · Clinical rotations · 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

You are the intern on a Perth paediatric ward. Over three weeks you admit four toddlers from the same remote community with extensive impetigo, and a fifth chil…

Paediatrics · Pre-internship · middle twist

A 9-day-old term baby is brought to a rural emergency department pale, mottled and grunting after a day of poor feeding. He is afebrile. His heart rate is 190 a…

Paediatrics · Pre-internship · niche