Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…
Paediatrics · Clinical rotations · common
A girl born at 28 weeks gestation is brought to the child health nurse for a routine review. She is now 5 months old by the calendar and has been home from the…
Paediatrics · Clinical rotations · common
A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…
Paediatrics · Clinical rotations · middle twist
A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…
Psychiatry · Clinical rotations · middle twist
A metropolitan mental health service is examining why Aboriginal and Torres Strait Islander inpatients leave the ward against medical advice far more often than…
Psychiatry · Clinical rotations · middle twist
A 22-year-old Aboriginal man is brought to a regional hospital by his aunt six weeks after his grandfather's funeral. At night he hears his grandfather calling…
Psychiatry · Clinical rotations · middle twist
The Australian Institute of Health and Welfare reports causes of death for Aboriginal and Torres Strait Islander children and young people. Among Aboriginal and…
Psychiatry · Clinical rotations · middle twist
A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…
Psychiatry · Clinical rotations · middle twist
A 9-year-old boy attends a child and adolescent mental health clinic for severe attention deficit hyperactivity disorder. The psychiatrist explains the risks, b…
Psychiatry · Clinical rotations · middle twist
You are the resident on a Perth adult psychiatric inpatient unit. A 41-year-old man with bipolar disorder is a voluntary inpatient and has capacity. Over one we…
Psychiatry · Clinical rotations · middle twist
A 79-year-old woman with mild Alzheimer disease is an inpatient with a severe depressive episode. Electroconvulsive therapy is proposed. An hour after the discu…
Psychiatry · Clinical rotations · middle twist
A 24-year-old man with schizophrenia has been made an involuntary inpatient at an authorised hospital in Perth under the Mental Health Act 2014 (WA) after refus…
Psychiatry · Clinical rotations · middle twist
An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…
Psychiatry · Clinical rotations · common
An 84-year-old woman is brought to a Perth general practice by her daughter, with whom she lives, for a third presentation this year with dehydration. She has l…
Psychiatry · Clinical rotations · middle twist
A 49-year-old woman with schizophrenia has taken olanzapine for 12 years and attends a community clinic. Over three months she has become thirsty, gets up twice…
Psychiatry · Clinical rotations · middle twist
A 22-year-old apprentice electrician has recovered from a first episode of psychosis and is well on aripiprazole. He lives with his parents, has no debts, showe…
Psychiatry · Clinical rotations · common
A 46-year-old carpenter has had a major depressive episode for seven months. He completed eight weeks of sertraline 100 mg daily with no change, then twelve wee…
Psychiatry · Clinical rotations · middle twist
A 24-year-old man had a first episode of schizophrenia nine months ago and has remained well on risperidone. He lives with his mother, who gave up her part-time…
Psychiatry · Clinical rotations · middle twist
A 27-year-old man with schizophrenia has been well for 18 months on paliperidone palmitate and attends a community mental health team. He lives with his parents…
Psychiatry · Clinical rotations · middle twist
A 34-year-old primary school teacher describes six months of constant worry, difficulty getting to sleep and irritability that is now affecting her teaching. Sh…
Psychiatry · Clinical rotations · common