Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 52-year-old woman attends your practice 20 to 30 times a year with headaches, bloating, dizziness and aching limbs that she says rule her days. She has had tw…
Psychiatry · Clinical rotations · common
Three days ago a bus carrying school staff rolled on a country highway and two people died. A 44-year-old teacher who was on the bus is physically uninjured but…
Psychiatry · Clinical rotations · common
A 31-year-old teacher describes eight months of constant worry about her students, her mortgage and her parents' health that she cannot switch off. She is tense…
Psychiatry · Clinical rotations · common
Nineteen days after being pulled from a burning car, a 34-year-old man cannot stop seeing the flames whenever he closes his eyes. He wakes several times a night…
Psychiatry · Clinical rotations · common
A 29-year-old woman has had six months of abrupt attacks of pounding heartbeat, breathlessness and tingling fingers that peak within minutes. They have come on…
Psychiatry · Clinical rotations · common
A general practice in Perth is planning how to staff its mental health clinics and asks a medical student to summarise the most recent national data. The studen…
Psychiatry · Clinical rotations · common
A 31-year-old primary school teacher has felt low, flat and tearful for seven weeks. She still gets to work every day but finds preparing lessons harder than us…
Psychiatry · Clinical rotations · common
A 58-year-old man with a three-month depressive episode tells his general practitioner, quietly and without being asked, that he has been thinking about ending…
Psychiatry · Clinical rotations · common
A 15-year-old girl is brought by her mother, who says that for four months she has snapped at everyone, slipped from top of the class to failing, given up netba…
Psychiatry · Clinical rotations · common
A 32-year-old woman attends the child health clinic six weeks after an uncomplicated birth. For a month she has felt flat throughout the day, has taken no pleas…
Psychiatry · Clinical rotations · common
A 61-year-old man is brought by his daughter seven months after his wife died. He has lost 9 kg, wakes at 3 am, and has not gone back to the bowls club or to hi…
Psychiatry · Clinical rotations · common
A 19-year-old man is admitted with a first episode of psychosis after eight weeks of persecutory beliefs and voices. He has never taken an antipsychotic. His bo…
Psychiatry · Clinical rotations · common
A 23-year-old apprentice has had persecutory beliefs and voices commenting on his actions continuously for three months. He has stopped attending work and rarel…
Psychiatry · Clinical rotations · common
A 26-year-old accountant is brought to his general practitioner by his sister. For four months he has believed that the presenter of the evening news bulletin a…
Psychiatry · Clinical rotations · common
A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…
Psychiatry · Clinical rotations · common
A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…
Psychiatry · Clinical rotations · common
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 26-year-old man has waited four hours in the emergency department to be seen about a hand injury. He is now standing at the triage window, speaking loudly and…
Psychiatry · Clinical rotations · common
A 47-year-old truck driver is referred by his general practitioner with insomnia and low mood after two months of exhaustion. He is in bed for nine hours a nigh…
Psychiatry · Clinical rotations · common
A 19-year-old man with moderate depression agrees to start sertraline after a discussion of the options. He has no psychotic features, no manic history, takes n…
Psychiatry · Clinical rotations · common