Results for “respiratory failure”

A 63-year-old man with renal colic is receiving morphine 2.5 mg intravenously every 5 minutes on your instruction. He has now had 12.5 mg and says the pain has…

Acute Care · Pre-internship · middle twist

You are the intern on an evening shift at a public hospital in Perth. A 3-year-old boy was admitted this morning with a febrile illness. His mother has told the…

Acute Care · Pre-internship · middle twist

A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…

Acute Care · Pre-internship · 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 24-year-old man has passed up to twelve watery stools a day for five days after returning from a trek in Nepal. He is thirsty and weak. His pulse is 118/min a…

Physiology · Foundations · middle twist

A 58-year-old man has vomited large volumes each day for nine days, bringing up food eaten the day before. The vomitus contains no bile. He has lost 5 kg, his m…

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 26-year-old woman with asthma is reviewed after three hours of emergency department treatment with inhaled salbutamol and ipratropium, systemic corticosteroid…

Respiratory · Pre-internship · middle twist

A 24-year-old woman with asthma remains breathless after repeated nebulised salbutamol and ipratropium, intravenous hydrocortisone and oxygen. She can speak onl…

Respiratory · Clinical rotations · common

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

A 5-month-old boy is brought to hospital with 2 days of nasal congestion, cough and reduced breastfeeds. He is alert but has subcostal recession and widespread…

Paediatrics · Clinical rotations · common

A 32-year-old man presents to an Australian emergency department with fever, headache and myalgia 10 days after returning from Papua New Guinea. He took doxycyc…

Infectious Diseases · Clinical rotations · common

A 74-year-old woman with severe chronic obstructive pulmonary disease presents with increasing dyspnoea and drowsiness during a respiratory infection. On room a…

Respiratory · Clinical rotations · common

A 29-year-old man with asthma is treated for an acute exacerbation with repeated nebulised salbutamol, ipratropium and corticosteroids. Initially he was agitate…

Respiratory · Clinical rotations · middle twist

A 68-year-old man with severe chronic obstructive pulmonary disease presents with increasing breathlessness and purulent sputum. He has received controlled oxyg…

Respiratory · Clinical rotations · common

A 34-year-old woman with asthma remains breathless in the emergency department after three nebulised doses of salbutamol and ipratropium and intravenous hydroco…

Respiratory · Clinical rotations · common

A 68-year-old man presents with a two-day history of fever, productive cough and pleuritic chest pain. He is alert, has a respiratory rate of 32/min, blood pres…

Respiratory · Clinical rotations · common

A 64-year-old man becomes hypotensive shortly after reperfusion of an inferior ST-elevation myocardial infarction. He is distressed but has clear breath sounds,…

Cardiovascular · Clinical rotations · common

A 46-year-old woman presents with fatigue, jaundice and dark urine that began after a respiratory infection. She has mild splenomegaly but no renal or neurologi…

AMC · Clinical rotations · common

A 17-year-old girl presents six hours after a deliberate ingestion of tablets taken from the family bathroom cabinet. She complains of nausea, repeated vomiting…

Emergency and Toxicology · Clinical rotations · common