Results for “liver”
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At an immunisation visit, the mother of a 3-year-old boy says he hits his 10-month-old sister several times a day, usually while she is being fed. She has tried…
Paediatrics · Clinical rotations · middle twist
A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three mo…
Paediatrics · Pre-internship · middle twist
A 30-month-old boy is reviewed after the practice nurse completed an Ages and Stages Questionnaire with his mother. He scores below the cut-off for communicatio…
Paediatrics · Pre-internship · middle twist
A 7-month-old girl is brought to a rural general practice. Her weight has fallen from the 50th centile to below the 0.4th centile over three months; her length…
Paediatrics · Pre-internship · middle twist
A 4-month-old girl is referred because her head circumference has fallen from the 25th percentile at birth to below the 3rd percentile. She was born at 39 weeks…
Paediatrics · Clinical rotations · niche
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 3-year-old boy is brought to the general practice because he uses only about twenty single words and no two-word phrases. He passed his newborn hearing screen…
Paediatrics · Pre-internship · common
A 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…
Paediatrics · Pre-internship · niche
You are asked to chart regular paracetamol for a 14-year-old boy on the first day after an open appendicectomy. He weighs 68 kg and is 174 cm tall. He has no li…
Paediatrics · Pre-internship · middle twist
A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…
Paediatrics · Clinical rotations · common
A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…
Paediatrics · Clinical rotations · middle twist
A metropolitan mental health service is examining why Aboriginal and Torres Strait Islander inpatients leave the ward against medical advice far more often than…
Psychiatry · Clinical rotations · middle twist
A 38-year-old Aboriginal woman is on the caseload of a metropolitan community mental health team after her third admission this year for a depressive episode wi…
Psychiatry · Pre-internship · middle twist
A 31-year-old man with schizophrenia has had four admissions in 18 months. He lives alone in a boarding house, keeps about one clinic appointment in five, and e…
Psychiatry · Pre-internship · middle twist
A 46-year-old carpenter has had a major depressive episode for seven months. He completed eight weeks of sertraline 100 mg daily with no change, then twelve wee…
Psychiatry · Clinical rotations · middle twist
A 24-year-old man had a first episode of schizophrenia nine months ago and has remained well on risperidone. He lives with his mother, who gave up her part-time…
Psychiatry · Clinical rotations · middle twist
A 34-year-old primary school teacher describes six months of constant worry, difficulty getting to sleep and irritability that is now affecting her teaching. Sh…
Psychiatry · Clinical rotations · common
A 34-year-old Aboriginal man attends a general practice in a regional Western Australian town six weeks after his uncle died. He sleeps poorly, has stopped goin…
Psychiatry · Clinical rotations · middle twist
A 3-year-old boy is brought by his mother, who says he never sits still, runs off in car parks and has been asked to leave two childcare centres. He was born at…
Psychiatry · Clinical rotations · middle twist
A 35-year-old intern is caring for a 62-year-old woman with alcohol-related liver disease on a general medical ward. She is the same age as his mother and speak…
Psychiatry · Clinical rotations · middle twist