Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 71-year-old man presents with three days of dyspnoea. CT pulmonary angiography shows bilateral pulmonary emboli and right ventricular enlargement; his blood p…
Cardiovascular · Clinical rotations · common
A 34-year-old woman wants reliable contraception while receiving rifampicin for pulmonary tuberculosis. She has previously used a combined oral contraceptive pi…
Obstetrics and Gynaecology · Clinical rotations · common
A 46-year-old man is brought from a house fire with burns to his face and upper chest. He is awake, has soot around his mouth and is coughing; initially his voi…
Emergency and Toxicology · Clinical rotations · common
A 76-year-old woman taking denosumab for osteoporosis develops pain around a mandibular molar and undergoes extraction. Twelve weeks later, a segment of hard ti…
Endocrine and Metabolic · Clinical rotations · common
A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…
Haematology and Oncology · Clinical rotations · common
A 72-year-old man with atrial fibrillation notices sudden, profound loss of vision in his right eye while eating breakfast. There is no pain, headache or preced…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 34-year-old woman at 13 weeks of gestation presents with vaginal bleeding and increasing abdominal distension. The uterus is approximately 18 weeks in size, h…
Obstetrics and Gynaecology · Clinical rotations · common
A 29-year-old woman presents at 7 weeks of pregnancy with increasing right lower abdominal pain and light vaginal bleeding. She conceived after in-vitro fertili…
Obstetrics and Gynaecology · Clinical rotations · common
A 19-day-old girl is reviewed for jaundice that has persisted since discharge from hospital. Her mother reports that the urine has stained the nappy dark and th…
Paediatrics · Clinical rotations · common
A 31-year-old woman presents 12 days after a vaginal birth with increasing bleeding, fever and lower abdominal discomfort. Her temperature is 39.1°C, the uterus…
Obstetrics and Gynaecology · Clinical rotations · common
A 4-year-old boy presents with fever, vomiting and severe pain in both legs. Over the preceding two hours, dark purple spots have appeared over his buttocks and…
Paediatrics · Clinical rotations · common
A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…
Cardiovascular · Clinical rotations · common
A 41-year-old woman develops a daily headache after several weeks of intense exercise. At first it occurred only after she stood for long periods, but it now be…
Neurology · Clinical rotations · common
A 79-year-old woman presents with four days of intermittent cramping abdominal pain, vomiting and increasing abdominal distension. She has no history of abdomin…
Gastroenterology and Hepatology · Clinical rotations · common
A 24-year-old woman presents with 12 hours of abdominal pain, nausea and anorexia. The pain began around the umbilicus and is now most severe in the right iliac…
Surgery and Perioperative Care · Clinical rotations · common
A 67-year-old man has become withdrawn and stopped eating over six weeks. He says his organs have rotted and that his family will be financially ruined because…
Psychiatry and Mental Health · Clinical rotations · common
A 30-year-old woman is brought by her partner 10 days after giving birth. For four nights she has slept for less than two hours, says the infant has been exchan…
Psychiatry and Mental Health · Clinical rotations · common
A 69-year-old man has had three episodes of melaena over two months and requires repeated iron infusions. He takes no non-steroidal anti-inflammatory drugs and…
Gastroenterology and Hepatology · Clinical rotations · common
A 71-year-old man receiving an unfractionated heparin infusion for a recent pulmonary embolus develops recurrent haematemesis and hypotension. The infusion is s…
Cardiovascular · Clinical rotations · common
A 32-year-old man presents to an Australian emergency department with fever, headache and myalgia 10 days after returning from Papua New Guinea. He took doxycyc…
Infectious Diseases · Clinical rotations · common