Results for “respiratory”
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A 9-month-old boy is brought by his mother, who is worried he is too small because her sister's baby of the same age is much bigger. He was born at term weighin…
Paediatrics · Clinical rotations · middle twist
A 74-year-old woman has been in hospital for eleven days with a severe depressive episode. She is convinced her bowel has rotted away and that she is being puni…
Psychiatry · Clinical rotations · middle twist
A 33-year-old woman is reviewed six weeks after the birth of her first child. She has persistent low mood, early morning waking, poor concentration and guilt at…
Psychiatry · Clinical rotations · middle twist
A 24-year-old man with schizophrenia has been taking clozapine for 17 days, titrated to 250 mg daily after two other antipsychotics failed. He reports three day…
Psychiatry · Clinical rotations · middle twist
A 46-year-old man taking venlafaxine 225 mg daily for depression is admitted after a fall at work. The orthopaedic team started slow-release tramadol two days a…
Psychiatry · Pre-internship · niche
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 23-year-old man with treatment-resistant schizophrenia started clozapine eighteen days ago and now takes 250 mg daily. He tells the nurse he feels as though h…
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 82-year-old woman with mild dementia is admitted from home with three days of confusion that fluctuates and is worse at night. She is drowsy but rousable and…
Psychiatry · Pre-internship · middle twist
An 84-year-old man with mild Alzheimer disease is brought to the emergency department by his daughter. For two days he has been drowsy after lunch and then agit…
Psychiatry · Pre-internship · middle twist
A 13-year-old boy's marks have fallen steadily over 12 months and his teacher reports that he dozes in afternoon classes, is irritable and forgets instructions.…
Psychiatry · Clinical rotations · middle twist
An 11-year-old girl has missed 14 days of school this term. On school mornings she has stomach ache and vomits, and settles completely once she is told she may…
Psychiatry · Clinical rotations · middle twist
A 16-year-old boy with anorexia nervosa weighing 39 kg was admitted three days ago and nasogastric feeding was commenced and increased daily. He has received th…
Psychiatry · Pre-internship · niche
A 26-year-old woman with a history of childhood sexual abuse collapses in the emergency department waiting room and develops generalised shaking. Twelve minutes…
Psychiatry · Pre-internship · niche
A 24-year-old man is brought to the emergency department at 2 am by police. He has been using methamphetamine for three days, and is pacing, sweating and shouti…
Psychiatry · Pre-internship · middle twist
A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…
Psychiatry · Clinical rotations · common
A 63-year-old woman has taken slow-release morphine for eighteen months for pain from vertebral metastases, prescribed and reviewed monthly by her oncologist. S…
Psychiatry · Pre-internship · niche
A 54-year-old man is admitted eighteen hours after his last drink, anxious, sweating and coarsely tremulous, with a pulse of 108/min and a blood pressure of 150…
Psychiatry · Pre-internship · middle twist
A 41-year-old woman stabilised on methadone 80 mg daily for opioid dependence has had open reduction and internal fixation of an ankle fracture. Four hours late…
Psychiatry · Pre-internship · middle twist
Police bring a 54-year-old man to the emergency department at 2 am after he shouted at passing cars and swung at an officer. He is known to the mental health se…
Psychiatry · Pre-internship · middle twist