Common

A 24-year-old man presents with two hours of palpitations. He is alert, has no chest pain, and his blood pressure is 124/76 mmHg. The radial pulse is regular at…

Physiology · Foundations · common

A 34-year-old man is seen in the medical tent 20 minutes after finishing a marathon run on a cool, overcast morning. He drank water at every drink station. He h…

Physiology · Foundations · common

A 4-year-old girl has had puffy eyelids each morning for two weeks and now has swollen legs and a distended abdomen. Her blood pressure is 96/58 mmHg. Urine tes…

Physiology · Foundations · common

A 74-year-old man is reviewed on the ward because he has become drowsy. He is cold and mottled to the mid-forearms. Pulse 108 beats per minute and regular; bloo…

Physiology · Foundations · common

A 62-year-old man describes tightness across the chest when he walks up the hill to his home; it settles within three minutes of rest. He first noticed it a mon…

Physiology · Foundations · common

A 24-year-old man is brought to the emergency department 40 minutes after he came off his motorcycle. He has a closed fracture of the right femur and a tense, s…

Physiology · Foundations · common

A 22-year-old man is struck in the left lower chest by a cricket ball. Two hours later he has constant pain at the tip of the left shoulder, worse when he lies…

Anatomy · Foundations · common

A 26-year-old man is referred after a harsh systolic murmur is heard at a pre-season sports medical. He has no symptoms and plays club football. Echocardiograph…

Anatomy · Foundations · common

A 44-year-old man has had drooping of the right side of his face for three days. He drools from the right corner of his mouth, the right nasolabial fold is flat…

Anatomy · Foundations · common

A 58-year-old man had a segment of superficial vein harvested from the right leg for a coronary bypass graft. The incision ran from just below the knee to the f…

Anatomy · Foundations · common

A 24-year-old man is stabbed in the right groin, the wound lying just below the inguinal ligament. Bleeding is controlled in the emergency department. He cannot…

Anatomy · Foundations · common

A 24-year-old man returns to clinic three weeks after coming off his motorbike onto his right shoulder. Radiographs at the time showed a fracture through the su…

Anatomy · Foundations · common

A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…

Gastroenterology and Hepatology · Clinical rotations · common

A 63-year-old man is admitted with fever, hypotension and rapidly progressive cellulitis of the forearm. He had been licked on an excoriated hand by his daughte…

Emergency and Toxicology · Clinical rotations · common

A 21-year-old university student notices yellowing of his eyes after several days of restricted food intake during examinations. He is otherwise well and has no…

Gastroenterology and Hepatology · Clinical rotations · common

A 24-year-old woman with asthma remains breathless after repeated nebulised salbutamol and ipratropium, intravenous hydrocortisone and oxygen. She can speak onl…

Respiratory · Clinical rotations · common

A 78-year-old woman becomes agitated and repeatedly pulls at her intravenous line on the second night after hip surgery. She alternates between asking where she…

Geriatrics and Palliative Care · Clinical rotations · common

A 29-year-old man is brought in shortly after his partner administered naloxone for suspected heroin overdose. He is yawning repeatedly, has abdominal cramps, d…

Emergency and Toxicology · Clinical rotations · common

A 46-year-old man is found vomiting beside an open container of an automotive fluid. He has tachypnoea, flank pain and oliguria; arterial blood gas analysis sho…

Emergency and Toxicology · Clinical rotations · common

A 24-year-old woman is brought to the emergency department after drinking approximately 8 L of water during a long-distance event. She is drowsy and has a serum…

Neurology · Clinical rotations · common