Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 34-year-old man in suburban Sydney felt a sharp pinprick on the back of his hand while moving pot plants stacked against the house. Over the next two hours he…
Emergency and Toxicology · Clinical rotations · common
A 9-year-old boy is brought to a regional Victorian hospital 45 minutes after a suspected snakebite to the calf while walking through long grass. A pressure imm…
Emergency and Toxicology · Clinical rotations · middle twist
A 58-year-old farmer near Dubbo, New South Wales, felt a sharp scratch on his ankle while moving hay bales and briefly lost consciousness about ten minutes late…
Emergency and Toxicology · Clinical rotations · niche
A 30-year-old Aboriginal man attends a regional clinic for an annual health assessment. He feels well, smokes ten cigarettes daily, drinks alcohol most weekends…
Cardiovascular · Clinical rotations · middle twist
A 47-year-old Aboriginal man from a regional town has type 2 diabetes and hypertension, for which metformin, perindopril and rosuvastatin are prescribed. At rev…
General Practice and Population Health · Clinical rotations · middle twist
A 34-year-old schoolteacher presents with three weeks of cough. Her illness began with a runny nose and mild sore throat, after which she developed bouts of sev…
Infectious Diseases · Clinical rotations · common
A mother brings her 16-week-old son for his first vaccinations. The family recently arrived from overseas and he has received no vaccines apart from a hepatitis…
Paediatrics · Clinical rotations · middle twist
A 61-year-old man returns to discuss the result of a bowel cancer screening kit he completed through the national program, which detected blood in one of two sa…
Gastroenterology and Hepatology · Clinical rotations · common
A 27-year-old woman attends for a travel health consultation. She has never had cervical screening despite two invitation letters from the National Cancer Scree…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 24-year-old university student commenced sertraline 50 mg daily three weeks ago for a depressive episode. His flatmates bring him to the emergency department…
Psychiatry and Mental Health · Clinical rotations · common
A 31-year-old woman presents six weeks after the birth of her first child. She tearfully describes vivid, unwanted images of smothering the baby with a pillow t…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 46-year-old woman with bipolar disorder has been stable on lithium carbonate for five years. She presents with two days of nausea, vomiting and unsteadiness o…
Psychiatry and Mental Health · Clinical rotations · common
A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…
Psychiatry and Mental Health · Clinical rotations · common
A 45-year-old man is brought to the emergency department after taking 20 paracetamol tablets following an argument. He is medically cleared and a psychiatric as…
Psychiatry and Mental Health · Clinical rotations · common
A 28-year-old man with schizophrenia that failed to respond to two previous antipsychotics has been taking clozapine for four months with good effect. He presen…
Psychiatry and Mental Health · Clinical rotations · common
A 34-year-old woman taking sertraline 100 mg daily for depression presents with two hours of agitation and profuse sweating. Two days earlier her general practi…
Emergency and Toxicology · Clinical rotations · common
A 74-year-old man is brought to his general practitioner by his daughter, who is worried about his memory over the past three months. He has stopped attending h…
Geriatrics and Palliative Care · Clinical rotations · common
A 52-year-old man is admitted to hospital after a fall at home and is managed with analgesia and bed rest. Thirty-six hours after admission he becomes restless…
Psychiatry and Mental Health · Clinical rotations · common
A 51-year-old woman presents with eight months of frequent hot flushes and drenching night sweats that wake her four to five times each night and are affecting…
Obstetrics and Gynaecology · Clinical rotations · common
A 58-year-old woman presents after a single episode of light vaginal bleeding one week ago. Her last menstrual period was at age 51 and she has never used menop…
Obstetrics and Gynaecology · Clinical rotations · middle twist