Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 382 questions.
A 19-year-old woman walks into a metropolitan emergency department with her sister ninety minutes after swallowing thirty modified-release paracetamol tablets.…
Acute Care · Clinical rotations · middle twist
A 34-year-old man is brought to the emergency department six hours after his general practitioner increased his sertraline and added tramadol for back pain. He…
Acute Care · Clinical rotations · middle twist
A 34-year-old man is brought in after a petrol fire in a shed. The skin over the whole front of his chest and abdomen is blistered, moist and painful. His right…
Acute Care · Clinical rotations · middle twist
A 58-year-old man is treated in the emergency department for a Colles fracture sustained tripping over a gutter. He smokes 25 cigarettes a day and lights the fi…
Acute Care · Clinical rotations · middle twist
A 41-year-old bricklayer attends the emergency department after cutting his forearm on a broken glass door at home. The wound is cleaned and sutured. On routine…
Acute Care · Clinical rotations · middle twist
A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consciousness. He vomited once at the scene and not sin…
Acute Care · Clinical rotations · middle twist
A 58-year-old man walks into a Perth emergency department at 1900 hours saying he has had heavy central chest pain radiating to his jaw for the past 40 minutes.…
Acute Care · Clinical rotations · middle twist
An intern covering a Perth hospital's wards and its residential aged care liaison service is asked about five deaths in one afternoon. All five are Western Aust…
Acute Care · Clinical rotations · middle twist
A 61-year-old woman with metastatic pancreatic cancer is in the emergency department short-stay unit with vomiting. She already knows her disease is incurable.…
Acute Care · Clinical rotations · middle twist
A 26-year-old man is brought in after coming off a motorcycle at speed. He has an anterior dislocation of the left shoulder and fractures of the left pubic rami…
Acute Care · Clinical rotations · middle twist
A 71-year-old woman attends the emergency department with 10 hours of vomiting that began after a family barbecue. She has Parkinson disease treated with levodo…
Acute Care · Clinical rotations · middle twist
A 16-year-old boy collapses at the finish of a school cross-country race in Perth on a 39-degree day. He is confused, cannot say where he is, and is unsteady wh…
Acute Care · Clinical rotations · middle twist
A 24-year-old man is brought to the surf club first aid room at a Perth beach in February. Ten minutes ago, while swimming, he felt sudden severe burning pain i…
Acute Care · Clinical rotations · middle twist
A 62-year-old man wakes at 5 am with swelling of his lips and tongue that has worsened over three hours. He ate prawns and drank a glass of wine at a restaurant…
Acute Care · Clinical rotations · middle twist
A 24-year-old man is brought in after his motorcycle struck a fence post. He opens his eyes to pain, makes incomprehensible sounds and localises with his right…
Acute Care · Clinical rotations · middle twist
An 82-year-old woman in a residential aged care facility has had watery diarrhoea and intermittent vomiting for two days. She is alert and oriented, her mucous…
Acute Care · Clinical rotations · middle twist
A 58-year-old man has had constant central chest heaviness for 70 minutes, radiating to his left arm, with sweating and nausea. The pain is unchanged by posture…
Acute Care · Clinical rotations · middle twist
A 61-year-old man is brought to the emergency department after fainting and passing a large amount of bright red blood. His blood pressure is now 102/70 mmHg af…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 58-year-old man with established alcohol-related cirrhosis presents with two episodes of black, offensive stool and light-headedness. His blood pressure is 10…
Infectious Diseases · Clinical rotations · middle twist
A 32-year-old woman shares a bedroom with her partner, who has been admitted with laboratory-confirmed meningococcal meningitis. She has no fever or rash and fe…
Obstetrics and Gynaecology · Clinical rotations · middle twist