Results for “steroids”

A two-year-old boy is brought to a regional emergency department 30 minutes after drinking from a soft drink bottle in the garage that his father had filled wit…

Paediatrics · Clinical rotations · middle twist

A 20-month-old girl is brought to a metropolitan emergency department 45 minutes after her brother saw her swallow a 20 mm lithium button battery from a remote…

Paediatrics · Pre-internship · niche

A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…

Paediatrics · Clinical rotations · common

A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in paralle…

Paediatrics · Clinical rotations · middle twist

A 13-year-old girl attends a general practice in the first week of September. Every year from the first week of October until Christmas she has a blocked, itchy…

Paediatrics · Clinical rotations · niche

A 15-year-old girl attends a general practice for a repeat of her salbutamol inhaler. She has had asthma since childhood. She uses salbutamol two or three times…

Paediatrics · Pre-internship · middle twist

A 7-year-old boy has had atopic dermatitis since infancy. His skin is currently red, thickened and excoriated across both antecubital and popliteal fossae and h…

Paediatrics · Pre-internship · middle twist

A 4-year-old girl has had bruises on her shins and trunk for three weeks. Her mother says she has become pale, tires on the walk to kindergarten and asks to be…

Paediatrics · Clinical rotations · common

A 7-month-old boy has had a runny nose for three days and is now coughing, wheezing and breathing fast. This is his first such illness. Respiratory rate is 58 p…

Paediatrics · Clinical rotations · common

A woman in preterm labour at 29 weeks is given betamethasone and transferred to a tertiary centre. Antenatal ultrasound and screening have all been normal and t…

Paediatrics · Clinical rotations · common

A 5-year-old boy with steroid-sensitive nephrotic syndrome finished a six-week course of oral prednisolone 2 mg/kg daily yesterday. He is in remission, is well…

Paediatrics · Pre-internship · middle twist

A 7-year-old girl is brought because her school photograph shows her much shorter than her friends. At 4 years of age her height and weight were both on the 50t…

Paediatrics · Clinical rotations · middle twist

A 64-year-old woman attends the general practice with six weeks of low mood, tearfulness, broken sleep and loss of interest in everything she used to enjoy. Fiv…

Psychiatry · Pre-internship · middle twist

A 27-year-old man is assessed in the emergency department short-stay unit with three weeks of low mood, waking at 4 am and hopelessness. He has had two similar…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman was admitted three days ago with cellulitis, which is settling on flucloxacillin. Since yesterday she has been muddled at night, insists th…

Psychiatry · Clinical rotations · middle twist

A 76-year-old woman was admitted five days ago with a severe depressive episode. Her general practitioner started amitriptyline 75 mg at night three weeks ago a…

Psychiatry · Pre-internship · middle twist

A 54-year-old restaurateur is brought by her husband with three weeks of elevated mood, sleeping two hours a night and plans to buy a second premises. She has n…

Psychiatry · Clinical rotations · 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 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…

Acute Care · Pre-internship · niche

A 24-year-old woman with asthma remains breathless after repeated nebulised salbutamol and ipratropium, intravenous hydrocortisone and oxygen. She can speak onl…

Respiratory · Clinical rotations · common