Niche but important
Rare, but missing it harms. 109 questions.
A 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…
Acute Care · Pre-internship · niche
A 46-year-old man with osteoarthritis is brought in three hours after taking twenty-four modified-release paracetamol tablets, each 665 mg, at one sitting. He w…
Acute Care · Clinical rotations · niche
A 26-year-old woman weighing 60 kg presents five hours after swallowing an unknown number of immediate-release paracetamol tablets. She is alert with normal obs…
Acute Care · Pre-internship · niche
A 19-year-old woman is brought to the emergency department by her flatmate two hours after swallowing a handful of paracetamol tablets following an argument. Sh…
Acute Care · Clinical rotations · niche
A 26-year-old woman is brought in three hours after taking about 40 alprazolam tablets with wine. She sleeps but rouses to a loud voice, gags on an oropharyngea…
Acute Care · Pre-internship · niche
A 46-year-old man who drinks a bottle of spirits most days has vomited for three days and eaten nothing; he stopped drinking two days ago. He is alert, with epi…
Acute Care · Clinical rotations · niche
A 28-year-old man jumped from a first-floor window to escape a house fire and has blistered burns over about 30% of his body surface. Forty-five minutes after t…
Acute Care · Pre-internship · niche
A 63-year-old man presents 30 hours after a garden fork went through his boot into the sole of his foot while he was turning manure. The puncture is 2 cm deep a…
Acute Care · Pre-internship · niche
An 89-year-old man with advanced dementia is in the emergency department with aspiration pneumonia. He cannot retain or weigh information about treatment. He ma…
Acute Care · Pre-internship · niche
A 68-year-old woman is brought to a Perth emergency department unconscious after her neighbour found her with empty amitriptyline packets and a note. Her airway…
Acute Care · Pre-internship · niche
A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…
Acute Care · Pre-internship · niche
A 71-year-old man noticed slurred speech 90 minutes ago while watching television and his wife drove him straight in. He speaks with a mild slur that is fully i…
Acute Care · Pre-internship · niche
A 24-year-old man reports 12 months of increasing breathlessness on exertion. He climbs stairs slowly and pushes on his thighs to stand from a low chair. His co…
Physiology · Foundations · niche
A 58-year-old accountant has had six months of numbness in the right little finger and clumsiness doing up buttons. He rests his elbows on his desk all day and…
Anatomy · Foundations · niche
A 3-year-old child is admitted with invasive Haemophilus influenzae type b infection. The child lives with both parents and a 20-month-old sibling who has recei…
Infectious Diseases · Clinical rotations · niche
A 26-year-old man is referred for recurrent episodes of yellowing of the eyes, usually after intercurrent illness. He has no pruritus, abdominal pain or weight…
Gastroenterology and Hepatology · Mechanisms of disease · niche
A 54-year-old woman is treated for symptomatic hyponatraemia that has probably been present for several days. Her initial serum sodium concentration was 108 mmo…
Renal, Urology and Electrolytes · Clinical rotations · niche
A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…
Emergency and Toxicology · Clinical rotations · niche
A 26-year-old man with schizophrenia stopped taking lorazepam prescribed for recurrent episodes of immobility and mutism. Two days later he is mute, alternates…
Psychiatry and Mental Health · Clinical rotations · niche
A 72-year-old man with Parkinson disease has developed distressing visual experiences over the past month. His wife reports that he sets places at the table for…
Psychiatry and Mental Health · Clinical rotations · niche