Results for “alcohol”

You are an intern on a Perth psychiatry ward. At handover for the evening shift the other intern smells strongly of alcohol, is unsteady and slurring slightly,…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman is brought to a Perth general practice by her daughter, with whom she lives, for a third presentation this year with dehydration. She has l…

Psychiatry · Clinical rotations · middle twist

A 27-year-old man with schizophrenia has been well for 18 months on paliperidone palmitate and attends a community mental health team. He lives with his parents…

Psychiatry · Clinical rotations · middle twist

A 41-year-old woman has had panic attacks with avoidance of buses and shopping centres for two years. Another doctor started diazepam 5 mg twice daily eight mon…

Psychiatry · Pre-internship · middle twist

A 35-year-old intern is caring for a 62-year-old woman with alcohol-related liver disease on a general medical ward. She is the same age as his mother and speak…

Psychiatry · Clinical rotations · middle twist

A 38-year-old woman has a third depressive episode. It began four months after her mother died and she moved interstate for work, leaving the friends and commun…

Psychiatry · Pre-internship · middle twist

A 27-year-old man with schizophrenia remains persistently deluded and hears voices for most of each day. He has completed eight weeks of risperidone 6 mg daily…

Psychiatry · Pre-internship · middle twist

A 26-year-old woman consults her general practitioner five weeks after her relationship ended. She feels flat most days, cries easily and takes an hour to fall…

Psychiatry · Clinical rotations · common

A 15-year-old boy is brought to a general practice by his mother, who says he has become withdrawn over four months. He has stopped playing football, his marks…

Psychiatry · Clinical rotations · common

A 27-year-old man with schizophrenia has taken amisulpride 1200 mg daily for ten weeks and, before that, olanzapine 20 mg daily for twelve weeks. Both were give…

Psychiatry · Pre-internship · middle twist

A 19-year-old man is admitted with a four-week history of persecutory beliefs and voices commenting on his actions. He has used methamphetamine most days for a…

Psychiatry · Clinical rotations · middle twist

A 44-year-old man has adjustment disorder with anxious mood following a workplace investigation. Over eight weeks he has completed six sessions of cognitive beh…

Psychiatry · Pre-internship · middle twist

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

At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…

Psychiatry · Pre-internship · common

A 38-year-old man on remand is referred to the prison health service for "anger management". He is charming and articulate. He was expelled from school at 13, h…

Psychiatry · Clinical rotations · common

A 41-year-old man with a long-standing diagnosis of borderline personality disorder is reviewed by his community team. Over the past five weeks he has woken at…

Psychiatry · Pre-internship · middle twist

A 29-year-old woman has been treated for "depression" for six years and has now been referred for electroconvulsive therapy after adequate trials of three antid…

Psychiatry · Clinical rotations · middle twist

A 63-year-old retired postal worker is referred with four months of "insomnia". He falls asleep within ten minutes but wakes at about 4 am and cannot get back t…

Psychiatry · Clinical rotations · common

A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours before dawn, he shouts, kicks and swings his arms whil…

Psychiatry · Pre-internship · middle twist

A 26-year-old woman has been an inpatient for three weeks with recurrent bloodstream infections through her central venous catheter, growing a different mix of…

Psychiatry · Pre-internship · middle twist