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A 68-year-old woman is brought to a Perth emergency department unconscious after her neighbour found her with empty amitriptyline packets and a note. Her airway…

Acute Care · Pre-internship · niche

A 26-year-old man is brought in after coming off a motorcycle at speed. He has an anterior dislocation of the left shoulder and fractures of the left pubic rami…

Acute Care · Clinical rotations · middle twist

A 5-year-old boy is pulled from a backyard swimming pool in Mandurah after an unknown time under the water. He is limp and blue and is not breathing normally. H…

Acute Care · Pre-internship · middle twist

A 16-year-old boy collapses at the finish of a school cross-country race in Perth on a 39-degree day. He is confused, cannot say where he is, and is unsteady wh…

Acute Care · Clinical rotations · middle twist

A 62-year-old man collapses in the emergency department waiting room. He is pulseless and the monitor shows ventricular fibrillation. Chest compressions are in…

Acute Care · Clinical rotations · common

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 34-year-old woman has had 8 months of heavy menstrual bleeding. She is breathless climbing one flight of stairs and tired all day. Her conjunctivae are pale.…

Physiology · Foundations · middle twist

A 68-year-old man has become breathless over three weeks. He is examined sitting upright, and the right side of his chest expands less than the left. Bedside ul…

Anatomy · Foundations · middle twist

A 56-year-old man with alcohol-related cirrhosis presents with profuse vomiting of blood. He is agitated, intermittently drowsy and repeatedly coughing while bl…

Gastroenterology and Hepatology · Clinical rotations · common

A 24-year-old man presents with two days of sore throat, fever and increasing difficulty swallowing. He has muffled speech, tender cervical nodes and a grey-whi…

Infectious Diseases · Pre-internship · middle twist

A 68-year-old man taking gliclazide modified release for type 2 diabetes is found drowsy with a blood glucose concentration of 2.1 mmol/L. He improves after int…

Emergency and Toxicology · Clinical rotations · middle twist

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 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 29-year-old woman presents with three days of worsening unilateral throat pain, fever and difficulty swallowing. She cannot open her mouth fully, her voice is…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 41-year-old woman is rescued from a vehicle fire with burns encircling the chest and upper abdomen. She is intubated and ventilated, but her peak airway press…

Emergency and Toxicology · Clinical rotations · middle twist

A 46-year-old man is brought from a house fire with burns to his face and upper chest. He is awake, has soot around his mouth and is coughing; initially his voi…

Emergency and Toxicology · 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