Results for “arrhythmia”
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A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…
Paediatrics · Pre-internship · middle twist
An 8-year-old girl with chronic kidney disease is brought in vomiting after missing two dialysis sessions. She is alert and her blood pressure is 128/78 mmHg. S…
Paediatrics · Pre-internship · common
A 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…
Paediatrics · Pre-internship · common
A 15-year-old boy is being cleared to play club rugby. He has never had chest pain, palpitations, breathlessness out of proportion to exertion or blackouts, and…
Paediatrics · Pre-internship · middle twist
A 16-year-old girl with anorexia nervosa is reviewed in an outpatient eating disorder clinic. Over the past six weeks her weight has fallen 3 kg to 42 kg; she i…
Paediatrics · Pre-internship · niche
A 16-year-old girl asks you to sign a clearance form for state-level netball. Twice this year she has collapsed without warning, once in the third quarter of a…
Paediatrics · Pre-internship · common
A 15-year-old boy attends for clearance to play first-grade school football. He has never had chest pain or blackouts and keeps up with the fittest boys at trai…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl has lost 12 kg over five months and eats about 600 kcal a day. She is alert, has attended school all week, and her parents can start family-b…
Psychiatry · Pre-internship · middle twist
A 17-year-old with attention deficit hyperactivity disorder has taken immediate-release methylphenidate 10 mg at 8 am and 10 mg at 1 pm for two years, sleeping…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl is brought to a regional emergency department by her mother after fainting at school. Over five months she has cut all fats from her diet and…
Psychiatry · Pre-internship · middle twist
A 26-year-old woman with a two-year eating disorder is admitted with cramps and profound weakness. She weighs 58 kg and has not lost weight. She denies vomiting…
Psychiatry · Pre-internship · niche
An 86-year-old man who lives alone is brought to the emergency department by his daughter because he has been muddled for two days and twice called her by his l…
Psychiatry · Pre-internship · middle twist
An 82-year-old woman is admitted overnight with a fractured neck of femur after a fall at home. She has had no chest pain, breathlessness or palpitations. Preop…
Acute Care · Pre-internship · niche
A 66-year-old man has had ninety minutes of central chest pain with sweating. His electrocardiogram shows 3 mm ST elevation in leads II, III and aVF with ST dep…
Acute Care · Pre-internship · niche
A 74-year-old man on a surgical ward reports palpitations on the second day after a right hemicolectomy. He is alert and comfortable, with a blood pressure of 1…
Acute Care · Clinical rotations · common
A 13-year-old boy weighing 52 kg develops widespread urticaria, a hoarse voice and wheeze about ten minutes after eating a satay skewer at a school camp. He is…
Acute Care · Pre-internship · middle twist
A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…
Acute Care · Pre-internship · niche
A 79-year-old woman is brought in drowsy and clammy after two episodes of collapse at home. The monitor shows complete heart block with a ventricular rate of 34…
Acute Care · Pre-internship · middle twist
A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…
Acute Care · Pre-internship · middle twist
A 24-year-old woman with type 1 diabetes presents with abdominal pain, vomiting and deep breathing. Her blood glucose concentration is 24 mmol/L, venous pH is 7…
Endocrine and Metabolic · Clinical rotations · middle twist