Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 15-month-old girl is observed in a research playroom during brief separations from and reunions with her mother. On each reunion she runs towards her mother,…
Psychiatry · Clinical rotations · middle twist
A 31-year-old woman is seen two months after her small business failed. She is tearful, sleeps poorly and has withdrawn from friends, but continues to care for…
Psychiatry · Clinical rotations · common
A 14-year-old boy is brought in by his mother because of his behaviour over the past two months. Since his parents separated he has sworn at teachers, walked ou…
Psychiatry · Clinical rotations · middle twist
A 47-year-old man is seen six weeks after being told his position will be made redundant at the end of the year. He is tearful in the consultation, sleeps poorl…
Psychiatry · Clinical rotations · common
An 82-year-old widow attends her general practitioner with her son, who lives in her house and answers most questions for her. Seen alone, she says he shouts at…
Psychiatry · Clinical rotations · common
An 83-year-old man with moderate Alzheimer disease has a large symptomatic inguinal hernia and the surgeon has recommended repair. He lives in a hostel, cannot…
Psychiatry · Clinical rotations · middle twist
A 78-year-old retired farmer is brought in by his wife with four months of tiredness, vague upper abdominal discomfort and aching legs. He has lost 5 kg. He sto…
Psychiatry · Clinical rotations · middle twist
A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…
Psychiatry · Clinical rotations · common
A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooki…
Psychiatry · Clinical rotations · common
A 77-year-old woman is brought to the emergency department by her daughter because she has become confused and unsteady over three days. Five weeks ago her gene…
Psychiatry · Clinical rotations · middle twist
A general practice in a regional Western Australian town is auditing its patients aged 65 years and over as part of a suicide prevention programme. None of the…
Psychiatry · Clinical rotations · middle twist
A 73-year-old woman presents with four months of worry, restlessness and difficulty sleeping. She has never been an anxious person and nothing in her circumstan…
Psychiatry · Clinical rotations · middle twist
An 84-year-old woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…
Psychiatry · Clinical rotations · middle twist
An 81-year-old woman who came to Australia from Viet Nam at the age of 55 is brought by her son because of two years of gradually worsening memory. She left sch…
Psychiatry · Clinical rotations · middle twist
A 12-year-old boy with autism spectrum disorder and moderate intellectual disability has been banging his head on walls and biting his forearms several times a…
Psychiatry · Clinical rotations · middle twist
A 13-year-old boy's marks have fallen steadily over 12 months and his teacher reports that he dozes in afternoon classes, is irritable and forgets instructions.…
Psychiatry · Clinical rotations · middle twist
A 13-year-old boy attends with his mother because his school has asked for a diagnosis. He has always been behind his peers and reads at a Year 3 level. He avoi…
Psychiatry · Clinical rotations · middle twist
A 13-year-old boy is brought by his father because of daily shouting matches at home over the past 18 months. He argues with every request, swears at his parent…
Psychiatry · Clinical rotations · middle twist
An 11-year-old girl has missed 14 days of school this term. On school mornings she has stomach ache and vomits, and settles completely once she is told she may…
Psychiatry · Clinical rotations · middle twist
A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…
Psychiatry · Clinical rotations · common