Medicine

A 46-year-old man attends the clinic nine months after cardiac transplantation. He feels well, has no chest pain and walks four kilometres most days. He takes n…

A 22-year-old woman is brought to the emergency department 30 minutes after an argument at home, breathing rapidly and deeply. She complains of tingling around…

A 43-year-old man is brought in 18 hours after a meal that included home-bottled vegetables. Over the past six hours his eyelids have drooped, his vision has do…

A 58-year-old man is freed after six hours trapped beneath a collapsed brick wall. He is alert, and both thighs are swollen and tender. He reports tingling in b…

A 46-year-old labourer is freed after six hours trapped beneath a collapsed brick wall. Both thighs are tense, swollen and tender, and he cannot move his toes.…

A 22-year-old woman is brought to the emergency department after 30 minutes of rapid, deep breathing that began during an argument. She reports tingling around…

A 24-year-old man has passed up to twelve watery stools a day for five days after returning from a trek in Nepal. He is thirsty and weak. His pulse is 118/min a…

A 58-year-old man has vomited large volumes each day for nine days, bringing up food eaten the day before. The vomitus contains no bile. He has lost 5 kg, his m…

A 19-day-old boy has vomited after most feeds for the past week. He is 9 per cent below his birth weight, lethargic, with dry mucous membranes and cool peripher…

A 32-year-old woman has passed large volumes of pale urine for four months and drinks about eight litres of water each day, having decided this would improve he…

A 7-year-old boy has passed large volumes of urine and craved salty food since infancy, and he is small for his age. His blood pressure is 92/56 mmHg and he has…

A 24-year-old man is brought to the emergency department after a motorcycle crash. He has an unstable pelvic fracture and has lost an estimated 1500 mL of blood…

A 68-year-old man has had 4 days of fever, cough and left-sided pleuritic pain. There is dullness to percussion, bronchial breathing and increased vocal resonan…

A 76-year-old man is admitted after falling down four steps at home. He weighs 75 kg. He has fractures of the left fifth to eighth ribs and it hurts him to brea…

A 34-year-old woman has had 8 months of heavy menstrual bleeding. She is breathless climbing one flight of stairs and tired all day. Her conjunctivae are pale.…

A 68-year-old man with a 20-year history of hypertension is examined before elective hernia repair. His pulse is regular at 72 beats per minute. With the bell o…

A 62-year-old man has had 4 months of worsening constipation with cramping pain that comes in waves and eases after a few minutes; he cannot point to one spot w…

A 71-year-old woman has coughed violently for 3 weeks. Yesterday, during a bout of coughing, she felt sudden tearing pain in the right lower abdomen and now has…

A 19-year-old man has had 20 hours of pain that began around the umbilicus and has settled in the right lower abdomen, with anorexia and a temperature of 37.9 C…

A 58-year-old builder has noticed a bulge in the right groin over 6 months. It appears when he coughs or lifts and disappears when he lies down. On standing, th…