Results for “absorption”

A 19-year-old man walks into a small country hospital 40 minutes after being bitten on the right calf by a snake he disturbed while moving hay bales. A bystande…

Acute Care · Pre-internship · 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 19-day-old boy has vomited after most feeds for the past week. He is 9 per cent below his birth weight, lethargic, with dry mucous membranes and cool peripher…

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 man is brought to the emergency department after a motorcycle crash. He has an unstable pelvic fracture and has lost an estimated 1500 mL of blood…

Physiology · Foundations · middle twist

A 61-year-old man is brought to the emergency department after fainting and passing a large amount of bright red blood. His blood pressure is now 102/70 mmHg af…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…

Haematology and Oncology · Clinical rotations · common

A 67-year-old woman with long-standing rheumatoid arthritis reports increasing fatigue and reduced exercise tolerance. Her haemoglobin is 92 g/L (115–155), mean…

Haematology and Oncology · Clinical rotations · middle twist

A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…

Emergency and Toxicology · Clinical rotations · niche

A 58-year-old man with primary adrenal insufficiency is scheduled for multiple dental extractions under general anaesthesia. He takes hydrocortisone 20 mg in th…

Endocrine and Metabolic · Clinical rotations · common

A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…

AMC · Clinical rotations · common

A patient with profuse watery diarrhoea caused by enterotoxin receives an oral solution containing sodium and glucose. Before treatment, stool output is high an…

Biomedical Science · Foundations · common

A 29-year-old woman has a plasma bicarbonate concentration of 15 mmol/L (reference 22–29 mmol/L) and a normal anion gap. Her urine pH is 6.2 during bicarbonate…

Biomedical Science · Mechanisms of disease · middle twist

A healthy adult receives an intravenous glucose load. Plasma glucose is 12 mmol/L (reference 3.5–7.8 mmol/L), the measured glomerular filtration rate is 120 mL/…

Biomedical Science · Mechanisms of disease · common

A 24-year-old woman presents to the emergency department two hours after impulsively swallowing 32 tablets of 500 mg immediate-release paracetamol (16 g) follow…

Emergency and Toxicology · Pre-internship · middle twist

A 46-year-old woman with bipolar disorder has been stable on lithium carbonate for five years. She presents with two days of nausea, vomiting and unsteadiness o…

Psychiatry and Mental Health · Clinical rotations · common

A 28-year-old woman presents with eight months of crampy lower abdominal pain that eases after opening her bowels, together with bloating and a bowel habit alte…

Gastroenterology and Hepatology · Clinical rotations · common

A 29-year-old man has progressive bone pain, proximal weakness and two atraumatic metatarsal fractures. Serum phosphate is 0.44 mmol/L (0.80–1.50), calcium is 2…

Endocrine and Metabolic · Clinical rotations · niche

A a 68-year-old man with a history of gastroesophageal reflux disease presents with worsening kidney function over the past two weeks. He started a proton pump…

Year 4 · Clinical rotations · common

A 67-year-old man presents to the emergency department with a 2-day history of severe diarrhea, abdominal cramping, and fever (38.5°C). His symptoms began appro…

Year 1 · Foundations · middle twist