Results for “calcium”

A mother brings her 18-month-old son to the general practice for a routine check. Her own mother has just moved in and keeps her tablets in a weekly pill organi…

Paediatrics · Clinical rotations · middle twist

A 4-year-old girl is admitted with four days of diarrhoea. She is 10 per cent dehydrated but not shocked, and her serum sodium on arrival is 172 mmol/L (135-145…

Paediatrics · Pre-internship · middle twist

A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet…

Paediatrics · Pre-internship · niche

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 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in paralle…

Paediatrics · Clinical rotations · middle twist

A boy is born at 39 weeks after spontaneous labour. The membranes ruptured 26 hours before birth and his mother had a temperature of 38.4 degrees during labour;…

Paediatrics · Pre-internship · middle twist

A woman arrives at a remote clinic in labour, having had no antenatal care and no dating ultrasound. She gives birth to a girl weighing 1980 g who cries at birt…

Paediatrics · Pre-internship · common

A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…

Paediatrics · Clinical rotations · middle twist

A 2-year-old girl is brought to a general practice because she is pale and always tired. Her weight has drifted from the 50th to the 10th centile over the past…

Paediatrics · Clinical rotations · common

A 14-month-old girl who is still breastfed and has had no supplements is referred because she is not yet walking and her legs look bowed. Her mother has dark sk…

Paediatrics · Pre-internship · middle twist

A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…

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

You are the intern on a surgical ward. A 68-year-old woman, four days after mastectomy, tells the night nurse she may as well not wake up in the morning. She ha…

Psychiatry · Pre-internship · middle twist

A 78-year-old retired farmer is brought in by his wife with four months of tiredness, vague upper abdominal discomfort and aching legs. He has lost 5 kg. He sto…

Psychiatry · Clinical rotations · middle twist

A 73-year-old woman presents with four months of worry, restlessness and difficulty sleeping. She has never been an anxious person and nothing in her circumstan…

Psychiatry · Clinical rotations · middle twist

A 16-year-old boy with anorexia nervosa weighing 39 kg was admitted three days ago and nasogastric feeding was commenced and increased daily. He has received th…

Psychiatry · Pre-internship · niche

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

An 84-year-old woman was admitted three days ago with cellulitis, which is settling on flucloxacillin. Since yesterday she has been muddled at night, insists th…

Psychiatry · Clinical rotations · middle twist

A 72-year-old woman born in Vietnam attends with her daughter, who reports that over two years her mother has become repetitive, has twice left the stove burnin…

Psychiatry · Clinical rotations · middle twist

A 78-year-old woman is on day six after an elective right hemicolectomy. Since the second postoperative day she has had episodes lasting about twenty minutes in…

Psychiatry · Pre-internship · niche