Results for “calcium”
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Police bring a 54-year-old man to the emergency department at 2 am after he shouted at passing cars and swung at an officer. He is known to the mental health se…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman with metastatic breast cancer is admitted from her retirement village because over four days she has become drowsy by day, restless at nigh…
Psychiatry · Clinical rotations · middle twist
You are the intern covering the orthopaedic ward at 2 am. A 79-year-old man, two days after hemiarthroplasty for a fractured neck of femur, is climbing over the…
Psychiatry · Pre-internship · middle twist
A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…
Psychiatry · Pre-internship · middle twist
A 79-year-old woman is brought to the emergency department at 2 am by police, having been found walking along a main road in her nightdress. She is pleasant and…
Psychiatry · Pre-internship · middle twist
A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…
Acute Care · Pre-internship · middle twist
An 84-year-old man with prostate cancer and bone metastases is catheterised in the emergency department for painless retention that has built up over several we…
Acute Care · Clinical rotations · middle twist
A 71-year-old man is on day 2 after a Hartmann procedure for perforated diverticulitis. He remains nil by mouth and his nasogastric tube has drained 1400 mL in…
Acute Care · Pre-internship · niche
A well 24-year-old woman has routine blood tests before starting a combined oral contraceptive. She takes no medication and her blood pressure is 112/70 mmHg. B…
Acute Care · Clinical rotations · middle twist
A 26-year-old woman is brought in three hours after taking about 40 alprazolam tablets with wine. She sleeps but rouses to a loud voice, gags on an oropharyngea…
Acute Care · Pre-internship · niche
A 76-year-old man taking ramipril and spironolactone attends with three days of vomiting and increasing lethargy. He is drowsy but rousable. Pulse is 42/min and…
Acute Care · Pre-internship · common
A 22-year-old woman is brought to the emergency department 30 minutes after an argument at home, breathing rapidly and deeply. She complains of tingling around…
Physiology · Foundations · middle twist
A 43-year-old man is brought in 18 hours after a meal that included home-bottled vegetables. Over the past six hours his eyelids have drooped, his vision has do…
Physiology · Foundations · middle twist
A 58-year-old man is freed after six hours trapped beneath a collapsed brick wall. He is alert, and both thighs are swollen and tender. He reports tingling in b…
Physiology · Foundations · middle twist
A 46-year-old labourer is freed after six hours trapped beneath a collapsed brick wall. Both thighs are tense, swollen and tender, and he cannot move his toes.…
Physiology · Foundations · middle twist
A 22-year-old woman is brought to the emergency department after 30 minutes of rapid, deep breathing that began during an argument. She reports tingling around…
Physiology · Foundations · middle twist
A 32-year-old woman has passed large volumes of pale urine for four months and drinks about eight litres of water each day, having decided this would improve he…
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 72-year-old woman with newly diagnosed multiple myeloma presents with confusion, constipation and weakness. Her serum calcium is 4.18 mmol/L (2.10–2.60), crea…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 46-year-old man is found vomiting beside an open container of an automotive fluid. He has tachypnoea, flank pain and oliguria; arterial blood gas analysis sho…
Emergency and Toxicology · Clinical rotations · common