Results for “stroke”

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 74-year-old man is reviewed on the ward because he has become drowsy. He is cold and mottled to the mid-forearms. Pulse 108 beats per minute and regular; bloo…

Physiology · Foundations · common

A 24-year-old man is brought to the emergency department 40 minutes after he came off his motorcycle. He has a closed fracture of the right femur and a tense, s…

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 74-year-old man is referred after three falls over two months. He describes a brief feeling of faintness after rising from a chair, without spinning sensation…

Geriatrics and Palliative Care · Clinical rotations · common

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 59-year-old man suddenly develops difficulty speaking and weakness of the right arm while driving. His wife reports that, immediately beforehand, the right si…

Neurology · Clinical rotations · common

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 44-year-old woman develops a severe headache while lifting her young child; she says it was already unbearable before she could put the child down. She has vo…

Neurology · Clinical rotations · middle twist

An otherwise well 29-year-old woman presents eight days after an uncomplicated vaginal delivery with a headache that has gradually intensified over four days. I…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…

Emergency and Toxicology · Pre-internship · common

A 41-year-old woman presents with sudden right arm weakness and difficulty speaking. Her partner saw rhythmic jerking of the right hand for 90 seconds followed…

Neurology · Clinical rotations · common

A 48-year-old man has a large right middle cerebral artery infarction despite reperfusion treatment. Twenty-four hours later he becomes increasingly drowsy, dev…

Neurology · Clinical rotations · middle twist

A 70-year-old woman is recovering from a small ischaemic stroke and is found to have persistent atrial fibrillation. She has normal renal function and no eviden…

Cardiovascular · Clinical rotations · common

A 66-year-old man develops abrupt spinning vertigo and vomiting while gardening. Six hours later he remains unable to stand without support; examination shows h…

Neurology · 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 79-year-old woman with a previous stroke develops fever, cough and a new right lower-zone infiltrate 36 hours after vomiting during a meal. She is alert, has…

Infectious Diseases · Clinical rotations · middle twist

A 78-year-old man presents with an anterior ST-elevation myocardial infarction at a hospital where primary percutaneous coronary intervention cannot be delivere…

Cardiovascular · Clinical rotations · middle twist