Results for “bone”

A 7-year-old girl returns from a camping trip in far north Queensland with five days of fever, headache and severe myalgia. There is a 1 cm black-crusted ulcer…

Paediatrics · Clinical rotations · niche

The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…

Paediatrics · Pre-internship · common

A 4-year-old girl has had bruises on her shins and trunk for three weeks. Her mother says she has become pale, tires on the walk to kindergarten and asks to be…

Paediatrics · Clinical rotations · common

A 3-year-old girl is brought in after her mother felt a lump in her tummy while bathing her. She is thriving, plays normally, and has had no fever, weight loss…

Paediatrics · Clinical rotations · common

A 4-year-old girl has refused to walk since yesterday and cries whenever her right leg is moved. Temperature is 38.9 degrees Celsius and heart rate 148 per minu…

Paediatrics · Pre-internship · middle twist

A girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…

Paediatrics · Clinical rotations · middle twist

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 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 14-year-old boy is brought by his parents because he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and he has gro…

Paediatrics · Clinical rotations · middle twist

A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…

Paediatrics · Clinical rotations · middle twist

A 14-year-old boy is brought by his mother because he is the shortest in his class and is being teased. His height has followed a line just below the 3rd percen…

Paediatrics · Clinical rotations · middle twist

A 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…

Paediatrics · Pre-internship · niche

A 6-year-old girl falls from the monkey bars onto an outstretched right hand. She holds the elbow semi-flexed with diffuse swelling over the distal humerus, and…

Acute Care · Pre-internship · middle twist

An 81-year-old woman catches her shin on a tow bar. There is a 6 cm triangular flap of skin over the front of the lower leg, based distally, pink to its tip, wi…

Acute Care · Clinical rotations · middle twist

An 84-year-old man with prostate cancer and bone metastases is catheterised in the emergency department for painless retention that has built up over several we…

Acute Care · Clinical rotations · middle twist

A 46-year-old warehouse worker has had low back pain for three weeks since lifting a pallet. For the past two days the pain has run down both legs to the feet.…

Acute Care · Clinical rotations · common

A 7-year-old girl fell from a scooter onto her outstretched hand yesterday. Her wrist is swollen and tender about 2 cm proximal to the wrist crease, she is usin…

Acute Care · Pre-internship · middle twist

A 24-year-old woman rolled her right ankle landing awkwardly at netball two hours ago. She took four steps immediately afterwards and can take four steps now, l…

Acute Care · Clinical rotations · common

A 24-year-old man is brought in by ambulance after his motorcycle struck a guardrail. His left leg is partly amputated below the knee and bright blood is wellin…

Acute Care · Pre-internship · common