Results for “insulin”
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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 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 12-month audit of a paediatric ward identifies four prescriptions in which a weight-based dose was written ten times higher than intended; two of these reache…
Paediatrics · Clinical rotations · middle twist
A 12-year-old Aboriginal girl from a remote community has been admitted to a tertiary hospital with newly diagnosed type 1 diabetes. English is the family's fir…
Paediatrics · Pre-internship · middle twist
A 15-year-old girl with type 1 diabetes since the age of nine attends the clinic with her father. Her glycated haemoglobin has risen steadily over 12 months. He…
Paediatrics · Pre-internship · middle twist
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 28-year-old woman who has had type 1 diabetes since she was twelve asks how to prepare for a pregnancy she hopes to start in about six months. Her most recent…
Paediatrics · Pre-internship · middle twist
A girl born at 36 weeks weighing 2050 g is three hours old and has fed twice at the breast. She becomes jittery with a weak high-pitched cry, and then has an ep…
Paediatrics · Pre-internship · middle twist
A boy is born at 39 weeks weighing 4450 g to a woman whose gestational diabetes required insulin from 28 weeks. The birth was complicated by shoulder dystocia r…
Paediatrics · Clinical rotations · common
An 11-year-old girl has just been diagnosed with type 1 diabetes and will start insulin today. She is quiet, and her only questions are whether the injections w…
Paediatrics · Pre-internship · middle twist
A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…
Paediatrics · Clinical rotations · common
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 12-year-old Aboriginal boy is seen at a community clinic for a sports form. His body mass index is well above the 95th centile for age. His mother mentions th…
Paediatrics · Clinical rotations · middle twist
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
A 77-year-old woman is brought to the emergency department by her daughter because she has become confused and unsteady over three days. Five weeks ago her gene…
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 34-year-old operating theatre nurse has had eight admissions in a year with episodes of sweating and confusion. Today her blood glucose is 1.6 mmol/L (3.0 to…
Psychiatry · Clinical rotations · middle twist
You are the intern on a Perth surgical ward. Overnight a 74-year-old woman received ten times the intended dose of insulin because of a prescribing error you ma…
Acute Care · Pre-internship · middle twist
A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…
Acute Care · Pre-internship · middle twist