Results for “stroke”

A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…

Psychiatry · Clinical rotations · common

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

An 80-year-old woman with moderate Alzheimer disease in residential care has been agitated and wandering at night for five days, and is drowsy during the day. S…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…

Psychiatry · Clinical rotations · middle twist

A 79-year-old woman was started on sertraline three weeks ago for her first depressive episode. Her daughter brings her to the emergency department because over…

Psychiatry · Pre-internship · middle twist

A 71-year-old man is three months into rehabilitation after a left middle cerebral artery infarct. He eats little and has lost 4 kg. He wakes at 4 am and cannot…

Psychiatry · Clinical rotations · middle twist

A general practitioner in a regional town is asked to run a drug and alcohol education session at the local secondary school. Media coverage over the past year…

Psychiatry · Clinical rotations · common

A 76-year-old man with dementia with Lewy bodies has become convinced that his son is stealing from him and has started accusing and shoving care staff. Over th…

Psychiatry · Pre-internship · niche

A 74-year-old man is brought by his wife because for the past year he has described the small children who come into the lounge room most afternoons; he can say…

Psychiatry · Clinical rotations · middle twist

A 79-year-old woman with moderate Alzheimer disease in residential care has become resistive over the past week. She shouts and pushes staff away during showeri…

Psychiatry · Pre-internship · 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 58-year-old woman has twice walked into the left-hand door frame this month and has scraped the driver's side of her car. She has noticed nothing wrong with h…

Ophthalmology · Clinical rotations · middle twist

A 71-year-old man says the vision in his right eye switched off ninety minutes ago, without pain. He can count fingers only on that side. The right pupil dilate…

Ophthalmology · Pre-internship · middle twist

A 52-year-old woman wakes with a drooping right eyelid and double vision. She has had a boring pain behind the right eye since yesterday. When the lid is lifted…

Ophthalmology · Clinical rotations · middle twist

A 78-year-old woman is being discharged after an admission with melaena. She takes apixaban for atrial fibrillation. Gastroscopy showed a bleeding duodenal ulce…

Acute Care · Clinical rotations · middle twist

A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…

Acute Care · Clinical rotations · 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

A 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…

Acute Care · Pre-internship · niche

A 16-year-old boy collapses at the finish of a school cross-country race in Perth on a 39-degree day. He is confused, cannot say where he is, and is unsteady wh…

Acute Care · Clinical rotations · middle twist

A 71-year-old man noticed slurred speech 90 minutes ago while watching television and his wife drove him straight in. He speaks with a mild slur that is fully i…

Acute Care · Pre-internship · niche