Results for “stroke”

A 31-year-old woman in her first pregnancy presents at 36 weeks with a frontal headache and "flashing lights" for six hours. Her blood pressure was 11…

Obstetrics and Gynaecology · Pre-internship · common

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 66-year-old man with atrial fibrillation presents 40 minutes after the sight in his left eye "went out like a light" while reading; there was no pai…

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

A 34-year-old man who injects heroin presents with two weeks of fevers, sweats, a cough and pleuritic chest pain on both sides. His temperature is 39.2 °C, puls…

Cardiovascular · Clinical rotations · middle twist

A 22-year-old woman is brought from a music festival by paramedics. She is agitated and confused, her temperature is 39.8 °C, pulse 132/min, blood pressure 158/…

Emergency and Toxicology · Clinical rotations · middle twist

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 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

A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…

Psychiatry · Clinical rotations · common

An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…

Psychiatry · Pre-internship · common

An 80-year-old woman with moderate Alzheimer disease in residential care has been agitated and wandering at night for five days, and is drowsy during the day. S…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…

Psychiatry · Clinical rotations · middle twist

A 79-year-old woman was started on sertraline three weeks ago for her first depressive episode. Her daughter brings her to the emergency department because over…

Psychiatry · Pre-internship · middle twist

A 71-year-old man is three months into rehabilitation after a left middle cerebral artery infarct. He eats little and has lost 4 kg. He wakes at 4 am and cannot…

Psychiatry · Clinical rotations · middle twist

A general practitioner in a regional town is asked to run a drug and alcohol education session at the local secondary school. Media coverage over the past year…

Psychiatry · Clinical rotations · common

A 76-year-old man with dementia with Lewy bodies has become convinced that his son is stealing from him and has started accusing and shoving care staff. Over th…

Psychiatry · Pre-internship · niche

A 74-year-old man is brought by his wife because for the past year he has described the small children who come into the lounge room most afternoons; he can say…

Psychiatry · Clinical rotations · middle twist

A 79-year-old woman with moderate Alzheimer disease in residential care has become resistive over the past week. She shouts and pushes staff away during showeri…

Psychiatry · Pre-internship · middle twist

A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…

Ophthalmology · Clinical rotations · common

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