Common

A 74-year-old woman is on day 4 after an open right hemicolectomy. Sodium chloride 0.9% 1 L eight-hourly, charted in the emergency department before her operati…

Acute Care · Pre-internship · common

You are the intern asked to collect a group and hold sample from a 68-year-old man before an elective hip replacement. When you arrive the ward clerk hands you…

Acute Care · Pre-internship · common

A 78-year-old woman is admitted overnight for observation after a mechanical fall. She is eating and drinking, takes only oral medications, and no intravenous t…

Acute Care · Pre-internship · common

A 74-year-old man on a surgical ward reports palpitations on the second day after a right hemicolectomy. He is alert and comfortable, with a blood pressure of 1…

Acute Care · Clinical rotations · common

A 19-year-old man is thrown from his motorcycle at highway speed. On arrival he is alert and complains only of neck pain. His blood pressure is 78/44 mmHg and h…

Acute Care · Clinical rotations · common

A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…

Acute Care · Clinical rotations · common

You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson…

Acute Care · Clinical rotations · common

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Acute Care · Clinical rotations · common

A 46-year-old warehouse worker has had low back pain for three weeks since lifting a pallet. For the past two days the pain has run down both legs to the feet.…

Acute Care · Clinical rotations · common

A 31-year-old man is brought in after his utility vehicle struck a tree at speed. He is pale and cold and speaks in short phrases. Heart rate 132/min, blood pre…

Acute Care · Clinical rotations · common

A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where…

Acute Care · Clinical rotations · common

A 22-year-old man stood on a garden fork while digging; a tine passed through his boot into the sole of his right foot. The wound is a 3 cm deep puncture with s…

Acute Care · Clinical rotations · common

A 24-year-old woman rolled her right ankle landing awkwardly at netball two hours ago. She took four steps immediately afterwards and can take four steps now, l…

Acute Care · Clinical rotations · common

A 32-year-old woman is brought in after her car left the road and struck a tree at speed. She is alert and cold to touch. Blood pressure 84/52 mmHg, pulse 126/m…

Acute Care · Clinical rotations · common

A 24-year-old man is brought in by ambulance after his motorcycle struck a guardrail. His left leg is partly amputated below the knee and bright blood is wellin…

Acute Care · Pre-internship · common

A 71-year-old woman who speaks only Vietnamese is ready to leave the emergency department after chest pain with normal troponin results. She is to start a new m…

Acute Care · Pre-internship · common

A 58-year-old man walks up to the triage desk of a metropolitan emergency department. He says a heavy tightness spread across the front of his chest while he wa…

Acute Care · Clinical rotations · common

An 84-year-old woman is brought to the emergency department after tripping on a rug at home. Radiographs of her wrist and hip show no fracture. She has not been…

Acute Care · Clinical rotations · common

A 76-year-old man taking ramipril and spironolactone attends with three days of vomiting and increasing lethargy. He is drowsy but rousable. Pulse is 42/min and…

Acute Care · Pre-internship · common

A 62-year-old man collapses in the emergency department waiting room. He is pulseless and the monitor shows ventricular fibrillation. Chest compressions are in…

Acute Care · Clinical rotations · common