Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 34-year-old woman attends her general practitioner eight weeks after the vaginal birth of her first child. Her pregnancy was complicated by gestational diabet…
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 22-month-old boy is brought to his general practitioner because he is not yet talking. He says 'mum' and 'dada' only, but points to things he wants, waves goo…
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 24-day-old girl is brought to the emergency department after her mother measured an axillary temperature of 38.3°C at home. She was born at term after an unco…
Paediatrics · Clinical rotations · common
An 18-month-old boy wakes at 2 am with a harsh, barking cough and noisy breathing and is brought to the emergency department. He has had a runny nose for two da…
Paediatrics · Clinical rotations · common
A 9-month-old girl is brought to the emergency department with three days of runny nose and moist cough, and one day of fast, noisy breathing. She is taking abo…
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 14-year-old boy is brought to the emergency department after waking at 5 am with sudden severe pain in the left side of his scrotum, and he has vomited twice.…
Paediatrics · Clinical rotations · common
A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…
Rheumatology and Musculoskeletal · 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
A 24-year-old woman of Greek background is found to have abnormal results on a pre-employment blood count. She feels well, her periods are not heavy, and she re…
Haematology and Oncology · Clinical rotations · common
A 68-year-old man presents with three months of increasing tiredness and breathlessness climbing stairs. He eats a mixed diet, takes no regular medications, and…
Gastroenterology and Hepatology · Clinical rotations · common
A 72-year-old man presents three days after an episode of weakness of his left arm and leg with slurred speech, which resolved completely within 20 minutes. He…
Neurology · Clinical rotations · common
A 76-year-old woman with atrial fibrillation, whose apixaban was stopped three weeks ago after a fall, presents with four hours of severe constant central abdom…
Cardiovascular · Clinical rotations · common
A 14-year-old boy presents with sudden severe lower abdominal pain that woke him from sleep two hours ago, accompanied by two episodes of vomiting. He is pale a…
Paediatrics · Clinical rotations · common
A 66-year-old man is five days after an ultra-low anterior resection for rectal cancer and had initially been recovering well. Overnight he developed an irregul…
Surgery and Perioperative Care · Clinical rotations · common