Results for “bone”

A 44-year-old man has had 18 months of worsening hearing on the left with constant ringing in that ear. He still follows conversation in a quiet room but cannot…

Anatomy · Foundations · middle twist

A 46-year-old man wakes with markedly reduced hearing in his right ear and a continuous high-pitched noise. He has no pain, discharge or recent infection, and t…

Emergency and Toxicology · Pre-internship · middle twist

A 16-year-old female long-distance runner develops gradually worsening right groin pain over six weeks. She has recently increased her training volume and repor…

Rheumatology and Musculoskeletal · Clinical rotations · middle twist

A 7-year-old boy has complained of pain in both thighs and an intermittent limp for one month. He is pale but afebrile, and there is no joint swelling; both hip…

Haematology and Oncology · Clinical rotations · common

A 24-year-old university student presents with three days of migratory joint pain involving both knees and one wrist. He has a temperature of 38.1°C and a small…

Infectious Diseases · Clinical rotations · common

A 76-year-old woman taking denosumab for osteoporosis develops pain around a mandibular molar and undergoes extraction. Twelve weeks later, a segment of hard ti…

Endocrine and Metabolic · 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 4-year-old boy presents with fever, vomiting and severe pain in both legs. Over the preceding two hours, dark purple spots have appeared over his buttocks and…

Paediatrics · Clinical rotations · common

A 35-year-old woman presents with bruising, gum bleeding and increasing lethargy. Her haemoglobin is 84 g/L (115–155), platelet count 18 × 10^9/L (150–400), whi…

AMC · Clinical rotations · middle twist

A 29-year-old man presents with fever, bruising and aching in the long bones. He has pallor, scattered petechiae and a spleen palpable 2 cm below the costal mar…

AMC · Clinical rotations · middle twist

An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin…

Nursing · Clinical rotations · middle twist

A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 48-year-old man who migrated from southern China ten years ago presents with six weeks of a blocked sensation and reduced hearing in the right ear. On several…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…

Rheumatology and Musculoskeletal · 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 63-year-old woman reports several months of bone pain and difficulty climbing stairs. She has no focal neurological deficit. Serum calcium is 2.19 mmol/L (2.1…

Endocrine and Metabolic · Clinical rotations · common

A 46-year-old man notices sudden hearing loss in his left ear on waking 48 hours ago. He has no pain, discharge or recent upper respiratory infection, and otosc…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A healthy 55-year-old man with no family history of prostate cancer asks for a PSA test after seeing an online advertisement. He has no urinary symptoms, haemat…

General Practice and Population Health · Clinical rotations · middle twist

A 71-year-old man presents with headache, blurred vision and spontaneous bruising. Blood tests show haemoglobin 86 g/L (reference range 130–170), total protein…

Haematology and Oncology · Clinical rotations · common

A 68-year-old man reports persistent thoracic back pain and fatigue for 3 months. His haemoglobin is 92 g/L (reference range 130–170), creatinine is 180 micromo…

Haematology and Oncology · Clinical rotations · common