Results for “thyroid”

A 54-year-old restaurateur is brought by her husband with three weeks of elevated mood, sleeping two hours a night and plans to buy a second premises. She has n…

Psychiatry · Clinical rotations · middle twist

A 52-year-old woman wakes with a drooping right eyelid and double vision. She has had a boring pain behind the right eye since yesterday. When the lid is lifted…

Ophthalmology · Clinical rotations · middle twist

A 9-year-old boy is brought to a regional emergency department after a heavy tackle at football. He is alert and orientated with a Glasgow Coma Scale score of 1…

Acute Care · Clinical rotations · niche

A 34-year-old man is brought to the emergency department six hours after his general practitioner increased his sertraline and added tramadol for back pain. He…

Acute Care · Clinical rotations · middle twist

A 22-year-old woman is brought to the emergency department 30 minutes after an argument at home, breathing rapidly and deeply. She complains of tingling around…

Physiology · Foundations · middle twist

A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…

Emergency and Toxicology · Pre-internship · common

A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…

Haematology and Oncology · Clinical rotations · common

A 3-week-old boy is brought with persistent jaundice, poor weight gain and two episodes of jitteriness before feeds. He was born at term with a small penis and…

Paediatrics · Clinical rotations · middle twist

A 63-year-old man with metastatic squamous cell carcinoma has persistent thirst, vomiting and confusion. After intravenous saline, his serum calcium concentrati…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

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 47-year-old woman has developed bleeding between otherwise irregular periods over the past four months. She has a body mass index of 36 kg/m² and polycystic o…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 34-year-old woman taking carbimazole for Graves disease presents with fever, malaise and two painful oral ulcers. She has a temperature of 38.7°C and mild cer…

Endocrine and Metabolic · Clinical rotations · common

A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…

AMC · Clinical rotations · common

A 27-year-old man with no previous psychiatric history is brought to hospital by his family after two weeks of little sleep, expansive business plans and increa…

Psychiatry and Mental Health · Clinical rotations · common

A 35-year-old woman has palpitations and a 9 kg weight loss over 3 months. Her free thyroxine is 48 pmol/L (reference 10–22 pmol/L), TSH is less than 0.01 mIU/L…

Biomedical Science · Mechanisms of disease · common

A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…

Psychiatry and Mental Health · Clinical rotations · common

A 34-year-old woman taking sertraline 100 mg daily for depression presents with two hours of agitation and profuse sweating. Two days earlier her general practi…

Emergency and Toxicology · Clinical rotations · common

A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…

Obstetrics and Gynaecology · Clinical rotations · common

A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed,…

Paediatrics · Clinical rotations · common

A 38-year-old woman presents with two weeks of pain in the front of her neck radiating to her jaw, together with palpitations, sweating and 2 kg of weight loss.…

Endocrine and Metabolic · Clinical rotations · common