Results for “referred pain”

A 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His temperature is 38.9 degrees Celsius. Both tympanic…

Paediatrics · Clinical rotations · common

A 13-year-old boy is brought to a general practice with three weeks of aching in his left knee and a limp his football coach has noticed. He weighs 82 kg. There…

Paediatrics · Clinical rotations · common

A 4-year-old girl has refused to walk since yesterday and cries whenever her right leg is moved. Temperature is 38.9 degrees Celsius and heart rate 148 per minu…

Paediatrics · Pre-internship · middle twist

A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemiscrotum is empty and underdeveloped. The right tes…

Paediatrics · Pre-internship · middle twist

A 24-year-old man with schizophrenia has been taking clozapine for 17 days, titrated to 250 mg daily after two other antipsychotics failed. He reports three day…

Psychiatry · Clinical rotations · middle twist

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 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 22-year-old man is struck in the left lower chest by a cricket ball. Two hours later he has constant pain at the tip of the left shoulder, worse when he lies…

Anatomy · Foundations · common

A 62-year-old man has had 4 months of worsening constipation with cramping pain that comes in waves and eases after a few minutes; he cannot point to one spot w…

Anatomy · Foundations · middle twist

A 35-year-old woman is referred for a brown plaque on the upper back that has slowly enlarged over nine years. It was initially flat, but several firm reddish-b…

Dermatology · Clinical rotations · middle twist

A 29-year-old woman at 10 weeks of pregnancy presents with sudden pleuritic chest pain and breathlessness. Her heart rate is 108/min, oxygen saturation is 98% o…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 34-year-old woman wants reliable contraception while receiving rifampicin for pulmonary tuberculosis. She has previously used a combined oral contraceptive pi…

Obstetrics and Gynaecology · Clinical rotations · common

A 41-year-old woman develops a daily headache after several weeks of intense exercise. At first it occurred only after she stood for long periods, but it now be…

Neurology · Clinical rotations · common

A 69-year-old man has had three episodes of melaena over two months and requires repeated iron infusions. He takes no non-steroidal anti-inflammatory drugs and…

Gastroenterology and Hepatology · Clinical rotations · common

A 26-year-old man is referred for recurrent episodes of yellowing of the eyes, usually after intercurrent illness. He has no pruritus, abdominal pain or weight…

Gastroenterology and Hepatology · Mechanisms of disease · niche

A 63-year-old man with metastatic squamous cell carcinoma has persistent thirst, vomiting and confusion. After intravenous saline, his serum calcium concentrati…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

A 59-year-old woman develops sharp central chest pain two days after an uncomplicated ST-elevation myocardial infarction. She says it is worse when she takes a…

Cardiovascular · Mechanisms of disease · middle twist

A 29-year-old woman at 28 weeks gestation presents with sudden pleuritic chest pain and breathlessness. Her pulse is 108/min, oxygen saturation is 97% on room a…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 39-year-old woman wants reliable contraception and has heavy, painful periods. She is taking rifampicin for tuberculosis and has no uterine abnormality on exa…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 34-year-old woman who is breastfeeding at four weeks after birth requests contraception. She has migraine with visual aura and reports that her periods were p…

Obstetrics and Gynaecology · Clinical rotations · common