Results for “hypertension”

A 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Acute Care · Clinical rotations · middle twist

A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…

Acute Care · Pre-internship · niche

A 62-year-old man wakes at 5 am with swelling of his lips and tongue that has worsened over three hours. He ate prawns and drank a glass of wine at a restaurant…

Acute Care · Clinical rotations · middle twist

A 4-year-old girl has had puffy eyelids each morning for two weeks and now has swollen legs and a distended abdomen. Her blood pressure is 96/58 mmHg. Urine tes…

Physiology · Foundations · common

A 68-year-old man with a 20-year history of hypertension is examined before elective hernia repair. His pulse is regular at 72 beats per minute. With the bell o…

Physiology · Foundations · middle twist

A 35-year-old woman at 35 weeks of pregnancy presents with vomiting, malaise and jaundice. She is normotensive, has no proteinuria and has mild right upper quad…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 46-year-old woman has a body mass index of 32 kg/m² and treated hypertension. Her mother developed type 2 diabetes at 58 years of age. She has no polyuria, po…

Endocrine and Metabolic · Clinical rotations · middle twist

A 29-year-old woman presents with headache, confusion and reduced urine output. She is pale and has scattered petechiae; investigations show haemoglobin 78 g/L…

Haematology and Oncology · Clinical rotations · middle twist

A 35-year-old primigravida at 37 weeks’ gestation is found to have blood pressure readings of 148/96 and 146/94 mmHg 4 hours apart. Urine protein is 2+, platele…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 31-year-old woman at 34 weeks’ gestation presents with a severe frontal headache and flashing lights. Her blood pressure is 176/114 mmHg on two measurements 1…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 63-year-old woman has three sudden episodes over two days of dizziness followed by double vision, slurred speech and veering to the left; each episode lasted…

Neurology · Clinical rotations · common

A 72-year-old man with atrial fibrillation notices sudden, profound loss of vision in his right eye while eating breakfast. There is no pain, headache or preced…

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

A 32-year-old woman at 34 weeks gestation reports two weeks of intense itching that is worse at night and began on her hands and feet. She has no rash, abdomina…

Obstetrics and Gynaecology · Clinical rotations · common

A 34-year-old woman presents with anxiety, poor sleep, nausea and a sense that people are watching her. She stopped taking alprazolam 72 hours ago after using 6…

Emergency and Toxicology · Clinical rotations · common

An 82-year-old woman becomes confused and unsteady over three days while being treated for depression and hypertension. She is euvolaemic, her serum sodium is 1…

Geriatrics and Palliative Care · Clinical rotations · common

A 30-year-old woman at 30+2 weeks has hypertension controlled with oral therapy and an ultrasound-estimated fetal weight below the third centile. Umbilical arte…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 31-year-old woman with chronic hypertension was taking labetalol before conception. At 30 weeks, her blood pressure has risen from 132/82 to 154/98 mmHg. A ur…

Obstetrics and Gynaecology · Clinical rotations · common

A 33-year-old woman at 33+5 weeks has a blood pressure of 168/112 mmHg on two occasions despite oral treatment. She has persistent right upper quadrant pain; pl…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 72-year-old woman with hypertension reports three episodes in the past week in which the vision in her right eye became obscured from the top down, each lasti…

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

A 49-year-old woman with a recently diagnosed adrenal pheochromocytoma requires drainage of a painful dental abscess before definitive tumour surgery. Her blood…

Emergency and Toxicology · Clinical rotations · niche