Diagnosis

An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin…

Nursing · Clinical rotations · middle twist

A 17-year-old girl presents six hours after a deliberate ingestion of tablets taken from the family bathroom cabinet. She complains of nausea, repeated vomiting…

Emergency and Toxicology · Clinical rotations · common

A 26-year-old backpacker is snorkelling off Port Douglas in far north Queensland in December when she feels a mild sting on her forearm, leaving only faint redn…

Emergency and Toxicology · Clinical rotations · common

A 34-year-old man in suburban Sydney felt a sharp pinprick on the back of his hand while moving pot plants stacked against the house. Over the next two hours he…

Emergency and Toxicology · Clinical rotations · common

A 58-year-old farmer near Dubbo, New South Wales, felt a sharp scratch on his ankle while moving hay bales and briefly lost consciousness about ten minutes late…

Emergency and Toxicology · Clinical rotations · niche

A 34-year-old schoolteacher presents with three weeks of cough. Her illness began with a runny nose and mild sore throat, after which she developed bouts of sev…

Infectious Diseases · Clinical rotations · common

A 24-year-old man presents with four days of fever, a runny nose, red watery eyes and a dry cough, ten days after returning from Bali. This morning a blotchy re…

Ethics and Professional Practice · Pre-internship · common

A 31-year-old woman presents six weeks after the birth of her first child. She tearfully describes vivid, unwanted images of smothering the baby with a pillow t…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 34-year-old woman taking sertraline 100 mg daily for depression presents with two hours of agitation and profuse sweating. Two days earlier her general practi…

Emergency and Toxicology · Clinical rotations · common

A 74-year-old man is brought to his general practitioner by his daughter, who is worried about his memory over the past three months. He has stopped attending h…

Geriatrics and Palliative Care · Clinical rotations · common

A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…

Obstetrics and Gynaecology · Clinical rotations · common

A 31-year-old woman presents with two days of right iliac fossa pain and light vaginal spotting. Her last menstrual period was six weeks ago and a home pregnanc…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 34-year-old woman, gravida 3 para 2, presents at 34 weeks gestation with two hours of constant severe abdominal pain and a small amount of dark red vaginal bl…

Obstetrics and Gynaecology · Clinical rotations · common

A 7-month-old previously well boy is brought to the emergency department after six hours of episodes of sudden inconsolable screaming during which he draws his…

Paediatrics · Clinical rotations · common

A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed,…

Paediatrics · Clinical rotations · common

A 3-year-old boy presents with six days of fever above 39°C that has persisted despite regular paracetamol; he is miserable and difficult to console. Both eyes…

Paediatrics · Clinical rotations · common

A 66-year-old woman is brought to the emergency department at 9 pm with severe right-sided headache, nausea and repeated vomiting that began while she was watch…

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

A 23-year-old man presents with a five-day history of worsening sore throat, and swallowing has become so painful that he is spitting his saliva into a cup. His…

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

A 74-year-old woman presents with severe pain in her left leg that began abruptly two hours ago while she was sitting watching television. She walks to the shop…

Cardiovascular · Clinical rotations · common

A 78-year-old man presents with three weeks of redness, warmth and itch affecting both lower legs. He is otherwise well, with long-standing varicose veins and a…

Dermatology · Clinical rotations · common