Results for “adrenal”

A 9-day-old term baby is brought to a rural emergency department pale, mottled and grunting after a day of poor feeding. He is afebrile. His heart rate is 190 a…

Paediatrics · Pre-internship · niche

A 5-week-old boy has vomited after feeds for three weeks. The milk now comes back forcefully enough to reach the floor, and he immediately wants to feed again.…

Paediatrics · Clinical rotations · middle twist

A 3-year-old boy weighing 15 kg has had two days of profuse vomiting and diarrhoea. On arrival he was drowsy with cold mottled legs, capillary refill of five se…

Paediatrics · Pre-internship · middle twist

A 2-year-old boy is brought to a regional emergency department at 3 am with two days of runny nose and a harsh barking cough. Forty minutes ago he was given dex…

Paediatrics · Pre-internship · middle twist

A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…

Paediatrics · Clinical rotations · common

A 2-year-old boy brought in at 2 am has a harsh barking cough and a hoarse cry. His general practitioner gave him prednisolone 1 mg/kg nine hours ago and he set…

Paediatrics · Pre-internship · middle twist

A 15-year-old girl has never had a period. Her breasts and pubic hair have been fully developed and unchanged for about a year, and she has grown 1 cm in the pa…

Paediatrics · Pre-internship · niche

A 14-year-old boy is brought in by both parents, who are worried that he is the shortest in his year and has not started to change. His height has followed the…

Paediatrics · Clinical rotations · niche

A 7-year-old girl is brought to a general practice because over six months she has developed underarm odour and a few dark hairs in the pubic area. Her mother i…

Paediatrics · Clinical rotations · middle twist

A 6-month-old boy is brought to a general practice for his immunisations. He has just started pureed vegetables and rice cereal. His 4-year-old sister has a pea…

Paediatrics · Clinical rotations · common

A 9-year-old boy is referred to a paediatric clinic because his weight is above the 97th centile. Both parents are overweight, he spends most of his free time o…

Paediatrics · Clinical rotations · middle twist

A 6-month-old boy attends with his mother for a routine check. He is exclusively breastfed, thriving and well, and has had no solid food. He has had moderate ec…

Paediatrics · Clinical rotations · middle twist

A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemiscrotum is empty and underdeveloped. The right tes…

Paediatrics · Pre-internship · middle twist

A general practice registrar is deciding which antidepressant to start for a 40-year-old man with a first episode of major depression of moderate severity. She…

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 64-year-old woman attends the general practice with six weeks of low mood, tearfulness, broken sleep and loss of interest in everything she used to enjoy. Fiv…

Psychiatry · Pre-internship · middle twist

A 68-year-old woman weighing 65 kg is in the emergency department with urinary sepsis. Intravenous antibiotics were given within 30 minutes of arrival and she h…

Acute Care · Pre-internship · middle twist

A well 24-year-old woman has routine blood tests before starting a combined oral contraceptive. She takes no medication and her blood pressure is 112/70 mmHg. B…

Acute Care · Clinical rotations · middle twist

A 62-year-old man collapses in a hospital foyer and is found to be in ventricular fibrillation. Compressions have been continuous, adrenaline 1 mg has been give…

Acute Care · Pre-internship · niche

A 68-year-old woman is brought in from a residential aged care facility with fever and new confusion. Her temperature is 38.9 degrees Celsius, blood pressure 82…

Acute Care · Pre-internship · middle twist