Results for “shunt”

A 6-day-old term girl, home since day two and feeding well until this morning, is brought in mottled and lethargic. Heart rate is 186 per minute, respiratory ra…

Paediatrics · Pre-internship · middle twist

A boy born at 38 weeks is hypotonic and feeds slowly. Rapid chromosome testing has confirmed trisomy 21. He is pink in air with a normal respiratory rate, the p…

Paediatrics · Pre-internship · middle twist

A term boy is 32 hours old and was recorded as normal at the newborn check. He now feeds slowly and tires, is mottled and cool to the knees, and his capillary r…

Paediatrics · Pre-internship · niche

A 4-month-old girl with a large ventricular septal defect is reviewed before surgical repair. She breastfeeds every two hours but takes 40 minutes each time, sw…

Paediatrics · Pre-internship · middle twist

A 3-year-old boy is pulled unresponsive from a community swimming pool. He is not breathing normally and a lifeguard has started chest compressions while an amb…

Acute Care · Clinical rotations · middle twist

A 68-year-old man has had 4 days of fever, cough and left-sided pleuritic pain. There is dullness to percussion, bronchial breathing and increased vocal resonan…

Physiology · Foundations · middle twist

A 47-year-old woman has fatigue, pruritus and intermittent jaundice. Alanine aminotransferase is 680 U/L (5–40), IgG is 31 g/L (7–16), antinuclear and smooth-mu…

Gastroenterology and Hepatology · Clinical rotations · common

A 67-year-old man is recovering on the fourth day after an inferior myocardial infarction treated with primary percutaneous coronary intervention. He suddenly d…

Cardiovascular · Clinical rotations · common

A laboratory technician is found unconscious in a poorly ventilated garage. Arterial blood shows pH 7.39, PaO2 13.0 kPa (reference 10.7–13.3 kPa), and PaCO2 5.1…

Biomedical Science · Mechanisms of disease · common