Results for “critical care”

A 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…

Paediatrics · Clinical rotations · common

A 4-week-old exclusively breastfed boy is brought to the emergency department because he is still yellow. He feeds hungrily and has gained 900 g since birth. Hi…

Paediatrics · Pre-internship · middle twist

A 14-year-old girl is brought by her mother because her marks have dropped over three months, she has quit netball, and she is irritable and withdrawn. Her pare…

Paediatrics · Pre-internship · middle twist

A 24-year-old man has recovered from his first episode of schizophrenia and has been well on aripiprazole for four months. He has moved back in with his parents…

Psychiatry · Clinical rotations · middle twist

A 68-year-old woman comes to the emergency department at 10 pm with four hours of severe right-sided headache and vomiting that began while she was watching a f…

Ophthalmology · Pre-internship · middle twist

A 62-year-old Aboriginal woman from a remote Kimberley community is admitted to a Broome hospital with small bowel obstruction and listed for laparotomy on tomo…

Acute Care · Pre-internship · middle twist

You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…

Acute Care · Pre-internship · niche

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 58-year-old man was admitted 36 hours ago with severe acute pancreatitis and has been given 7 litres of sodium chloride 0.9%. He is alert and normotensive, is…

Acute Care · Clinical rotations · middle twist

You are the intern on night cover. At 02:00 the nurse asks you to see a 68-year-old man on the second night after a right hemicolectomy. His respiratory rate is…

Acute Care · Pre-internship · middle twist

In late July a 34-year-old man attends with both his housemates. All three have had headache, nausea and poor concentration that build up through each evening a…

Acute Care · Clinical rotations · middle twist

A 58-year-old man is admitted with three days of fever and a productive cough. He weighs 138 kg, uses continuous positive airway pressure at home for witnessed…

Acute Care · Pre-internship · middle twist

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 34-year-old woman arrives 20 minutes after eating a satay skewer at a food van. She has widespread weals, a hoarse voice and expiratory wheeze. Blood pressure…

Acute Care · Pre-internship · middle twist

A 58-year-old man who works at a piggery near Griffith, New South Wales, is brought in one February with four days of fever and headache and one day of confusio…

Acute Care · Clinical rotations · niche

A 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…

Acute Care · Pre-internship · niche

A 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Acute Care · Clinical rotations · middle twist

A 24-year-old motorcyclist is brought in thirty minutes after a high-speed collision. Blood is pulsing from a deep laceration on the medial aspect of his left t…

Acute Care · Pre-internship · middle twist

A 19-year-old woman walks into a metropolitan emergency department with her sister ninety minutes after swallowing thirty modified-release paracetamol tablets.…

Acute Care · Clinical rotations · middle twist

A 58-year-old man walks up to the triage desk of a metropolitan emergency department. He says a heavy tightness spread across the front of his chest while he wa…

Acute Care · Clinical rotations · common