Management

A 42-year-old farmer attends because his wife insisted. She left him four months ago and he has been drinking a bottle of wine most nights. He has lost 6 kg, wa…

Psychiatry and Mental Health · Pre-internship · common

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 2-year-old boy weighing 12 kg has had two days of vomiting and profuse watery diarrhoea. He is now floppy and barely responsive, with cool mottled legs, a cap…

Paediatrics · Clinical rotations · common

A 9-month-old girl was eating grapes when she suddenly began to struggle. When you reach her she is conscious, silent, not crying and not coughing, with her mou…

Paediatrics · Clinical rotations · common

A 3-year-old girl has refused to walk or stand since waking this morning and screams when her right leg is moved. She had a cold last week. Her temperature is 3…

Paediatrics · Pre-internship · common

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 6-year-old girl has had a cold for a week and two days of increasing redness and swelling of her left eyelids. Today she is feverish (38.9 °C) and miserable.…

Paediatrics · Clinical rotations · common

A 3-year-old non-Aboriginal boy who attends childcare in Melbourne has had a runny nose for two days and woke last night crying and pulling at his right ear. Hi…

Paediatrics · Clinical rotations · common

A 5-week-old boy, first child, has had one week of vomiting that occurs within 30 minutes of every feed and is now forceful, landing well away from him. The vom…

Paediatrics · Pre-internship · middle twist

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 4-month-old girl, born at term, has had three days of a runny nose and cough and today is breathing fast and feeding poorly, taking about half her usual volum…

Paediatrics · Clinical rotations · common

A 4-month-old boy is brought in by his mother's partner with a swollen right thigh, which he says happened when the baby rolled off the couch this morning.…

Paediatrics · Pre-internship · common

A 3-year-old girl is brought to a rural general practice, two hours by road from the nearest hospital, with 12 hours of fever, vomiting and increasing drowsines…

Paediatrics · Pre-internship · common

An 18-month-old boy is brought in after a generalised convulsion lasting about three minutes at home; he had a runny nose and was "hot" for a day befo…

Paediatrics · Clinical rotations · common

An 8-month-old boy is brought in because his 5-year-old cousin, who visited the house two days ago and played with him for an afternoon, has today been diagnose…

Paediatrics · Pre-internship · niche

A 9-year-old girl weighing 30 kg presents in diabetic ketoacidosis as the first presentation of type 1 diabetes: pH 7.02, glucose 34 mmol/L, bicarbonate 6 mmol/…

Paediatrics · Pre-internship · middle twist

A 4-year-old boy develops widespread bruising on his shins and trunk and a crop of pinpoint red spots on his legs over three days, two weeks after a cold. He is…

Paediatrics · Clinical rotations · middle twist

A 3-day-old boy, born at term and discharged well at 24 hours, is brought back because he has become grey, floppy and uninterested in feeding over six hours. Hi…

Paediatrics · Pre-internship · middle twist

A 4-year-old girl is found to have a heart murmur at a routine health check. She is thriving on the 50th centile, runs around the playground without becoming sh…

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