Results for “hypertension”

An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…

Paediatrics · Clinical rotations · common

A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receiving intravenous fluid and an insulin infusion for k…

Paediatrics · Pre-internship · niche

A 3-year-old boy has had a fever above 39 degrees Celsius for six days despite regular paracetamol. Both eyes are red without any discharge or crusting. His lip…

Paediatrics · Clinical rotations · middle twist

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 6-year-old boy is seen for a routine check. His mother says he has always been "solidly built", like his father. He is 1.18 m tall and weighs 30 kg, giving a…

Paediatrics · Clinical rotations · common

A 12-year-old boy attends with his mother. His body mass index for age is above the 99.7th percentile on his growth chart, having been on the 92nd percentile at…

Paediatrics · Pre-internship · middle twist

An 8-year-old boy is referred to the paediatric clinic after a school nursing screen recorded a blood pressure of 132/84 mmHg, above the 95th centile for his ag…

Paediatrics · Pre-internship · common

A 49-year-old woman with schizophrenia has taken olanzapine for 12 years and attends a community clinic. Over three months she has become thirsty, gets up twice…

Psychiatry · Clinical rotations · middle twist

An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…

Psychiatry · Pre-internship · common

A 58-year-old man is on the surgical ward on the second day after an elective inguinal hernia repair. He is anxious and sweating, his hands tremble, and he has…

Psychiatry · Pre-internship · middle twist

A 62-year-old man is reviewed in the cardiology clinic eight weeks after an anterior myocardial infarction. He meets criteria for a moderate depressive episode…

Psychiatry · Pre-internship · niche

A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…

Psychiatry · Clinical rotations · common

A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…

Psychiatry · Clinical rotations · common

A 29-year-old woman is referred with 'panic attacks': five months of episodes of pounding heartbeat, shaking hands and feeling unbearably hot, several of which…

Psychiatry · Clinical rotations · middle twist

A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…

Ophthalmology · Clinical rotations · common

A 43-year-old woman has had two days of boring pain behind the right eye and, since this morning, double vision. Her right upper lid now covers the pupil and sh…

Ophthalmology · Pre-internship · middle twist

A 76-year-old man with long-standing asthma has needed his reliever most nights for six weeks and now wakes twice a night wheezing. His preventer, budesonide wi…

Ophthalmology · Clinical rotations · middle twist

A 54-year-old Aboriginal man attends his general practice in a regional town for a diabetes review. Type 2 diabetes was diagnosed four years ago. His HbA1c is 5…

Ophthalmology · Clinical rotations · niche

A 28-year-old man is stung by a bee in a hospital car park. In the emergency department he has generalised urticaria, audible wheeze and a blood pressure of 84/…

Acute Care · Pre-internship · middle twist

A 58-year-old man is seen in a pre-admission clinic before a hernia repair. He weighs 138 kg and his upper arm circumference is 42 cm. The nurse records 176/98…

Acute Care · Clinical rotations · middle twist