Results for “cough”

A 5-month-old boy is brought by his mother, who has been told at the child health clinic that he is under the line and is frightened that something is being mis…

Paediatrics · Clinical rotations · middle twist

A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…

Paediatrics · Pre-internship · common

A 31-year-old woman stopped paroxetine four days ago; she had taken 20 mg daily for eight months for panic disorder and ran out of tablets while interstate for…

Psychiatry · Clinical rotations · middle twist

A 46-year-old man with schizophrenia has taken clozapine 400 mg daily for four years without a dose change. Over the past ten days he has become drowsy in the a…

Psychiatry · Pre-internship · niche

An 86-year-old man who lives alone is brought to the emergency department by his daughter because he has been muddled for two days and twice called her by his l…

Psychiatry · Pre-internship · middle twist

A 24-year-old man with treatment-resistant schizophrenia is on day 18 of clozapine, now 250 mg at night. He is febrile at 38.4 degrees Celsius with a pulse of 1…

Psychiatry · Pre-internship · niche

A 76-year-old man with long-standing asthma has needed his reliever most nights for six weeks and now wakes twice a night wheezing. His preventer, budesonide wi…

Ophthalmology · 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 admitted with three days of fever and a productive cough. He weighs 138 kg, uses continuous positive airway pressure at home for witnessed…

Acute Care · Pre-internship · middle twist

A 47-year-old man chokes on a piece of bread roll while talking at a workplace lunch. He coughs hard for a few seconds, then the coughing becomes silent and his…

Acute Care · Clinical rotations · middle twist

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Acute Care · Clinical rotations · common

A 23-year-old university student is reviewed after being given a salbutamol inhaler by a locum six months ago. He uses it about three times most weeks for chest…

Acute Care · Clinical rotations · middle twist

A 68-year-old man has had 4 days of fever, cough and left-sided pleuritic pain. There is dullness to percussion, bronchial breathing and increased vocal resonan…

Physiology · Foundations · middle twist

A 24-year-old man reports 12 months of increasing breathlessness on exertion. He climbs stairs slowly and pushes on his thighs to stand from a low chair. His co…

Physiology · Foundations · niche

A 71-year-old woman has coughed violently for 3 weeks. Yesterday, during a bout of coughing, she felt sudden tearing pain in the right lower abdomen and now has…

Anatomy · Foundations · middle twist

A 58-year-old builder has noticed a bulge in the right groin over 6 months. It appears when he coughs or lifts and disappears when he lies down. On standing, th…

Anatomy · Foundations · middle twist

A 27-year-old man had an intercostal catheter inserted through the fifth intercostal space in the midaxillary line after a crush injury to the chest. Two weeks…

Anatomy · Foundations · middle twist

A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…

Gastroenterology and Hepatology · Clinical rotations · common

A 54-year-old man presents with five days of fever, dry cough, headache and diarrhoea after returning from a Mediterranean cruise. He is confused, respiratory r…

Respiratory · Clinical rotations · middle twist

A 59-year-old man develops rapidly worsening breathlessness five days after an influenza-like illness. He has a temperature of 39.8°C, respiratory rate of 38/mi…

Respiratory · Clinical rotations · middle twist