Results for “hypokalaemia”

A 5-week-old boy has vomited after feeds for three weeks. The milk now comes back forcefully enough to reach the floor, and he immediately wants to feed again.…

Paediatrics · Clinical rotations · 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

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 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 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

A 24-year-old primary school teacher is referred because of painless swelling at the angles of both jaws over four months. She is 165 cm tall and weighs 61 kg,…

Psychiatry · Clinical rotations · middle twist

A 68-year-old woman arrives at 10 pm vomiting, with a painful red right eye and rings around the streetlights. The right cornea is cloudy, the pupil is mid-dila…

Ophthalmology · Pre-internship · niche

A 22-year-old woman is brought to the emergency department 30 minutes after an argument at home, breathing rapidly and deeply. She complains of tingling around…

Physiology · Foundations · middle twist

A 58-year-old man is freed after six hours trapped beneath a collapsed brick wall. He is alert, and both thighs are swollen and tender. He reports tingling in b…

Physiology · Foundations · middle twist

A 24-year-old man has passed up to twelve watery stools a day for five days after returning from a trek in Nepal. He is thirsty and weak. His pulse is 118/min a…

Physiology · Foundations · middle twist

A 58-year-old man has vomited large volumes each day for nine days, bringing up food eaten the day before. The vomitus contains no bile. He has lost 5 kg, his m…

Physiology · Foundations · middle twist

A 32-year-old woman has passed large volumes of pale urine for four months and drinks about eight litres of water each day, having decided this would improve he…

Physiology · Foundations · middle twist

A 7-year-old boy has passed large volumes of urine and craved salty food since infancy, and he is small for his age. His blood pressure is 92/56 mmHg and he has…

Physiology · Foundations · 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

A 46-year-old man is found vomiting beside an open container of an automotive fluid. He has tachypnoea, flank pain and oliguria; arterial blood gas analysis sho…

Emergency and Toxicology · Clinical rotations · common

A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…

Cardiovascular · Clinical rotations · common

A 24-year-old man with type 1 diabetes presents with vomiting and abdominal pain. His blood glucose concentration is 28 mmol/L, blood ketones are 6.4 mmol/L and…

Endocrine and Metabolic · Clinical rotations · middle twist

A 34-year-old woman with asthma remains breathless in the emergency department after three nebulised doses of salbutamol and ipratropium and intravenous hydroco…

Respiratory · Clinical rotations · common

A 72-year-old man with diabetic kidney disease takes perindopril and spironolactone. He has a serum potassium concentration of 6.2 mmol/L (3.5–5.2), chloride 11…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

A 79-year-old man has fallen three times in two months, usually when walking to the toilet at night. He has slowed reactions and feels unsteady for several hour…

Geriatrics and Palliative Care · Pre-internship · common