Management

A 16-week-old girl is brought for her first immunisations; the family have recently arrived from overseas and she has had only the birth dose of hepatitis B vac…

Paediatrics · Clinical rotations · niche

A 32-year-old woman attends for the result of her first cervical screening test under the renewed National Cervical Screening Program. She is asymptomatic and h…

Obstetrics and Gynaecology · 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 34-year-old woman at 33 weeks in her third pregnancy, who smokes and has chronic hypertension, presents with two hours of constant severe abdominal pain that…

Obstetrics and Gynaecology · Pre-internship · middle twist

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 22-year-old man was struck on the right temple by a cricket ball three hours ago in a country town. He was briefly unconscious, then walked off the field and…

Emergency and Toxicology · Pre-internship · middle twist

A 24-year-old woman who wears soft contact lenses and often sleeps in them presents with 24 hours of an increasingly painful, red, watering right eye and marked…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 61-year-old woman reports two weeks of brief episodes of the room spinning, lasting less than 30 seconds, that happen when she rolls over in bed to the right,…

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

A 19-year-old man had a closed mid-shaft tibial fracture reduced and placed in a below-knee cast eight hours ago after a football tackle. He now has severe pain…

Rheumatology and Musculoskeletal · Pre-internship · middle twist

A 24-year-old man fell onto his outstretched right hand playing football two days ago. He has pain at the base of the thumb that is worse gripping. On examinati…

Rheumatology and Musculoskeletal · Clinical rotations · common

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 72-year-old woman with atrial fibrillation who stopped her anticoagulant six months ago after a nosebleed wakes at 3 am with sudden severe pain in her left le…

Surgery and Perioperative Care · Pre-internship · middle twist

A 76-year-old man reports that for three months he has felt light-headed and has twice nearly fainted walking up the hill to the shops, together with a tight fe…

Cardiovascular · Pre-internship · common

A 27-year-old man is brought in 20 minutes after his motorcycle struck a tree at speed. He is agitated, with a respiratory rate of 38/min, oxygen saturation 84%…

Emergency and Toxicology · Clinical rotations · 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 19-year-old woman presents six hours after taking 30 × 500 mg paracetamol tablets in a single impulsive act following an argument. She also took "a few&q…

Emergency and Toxicology · Clinical rotations · common

A 52-year-old fair-skinned man who worked outdoors for 30 years presents because his wife noticed that a mole on his upper back has changed. It is now 8 mm acro…

Dermatology · Clinical rotations · common

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