Results for “alcohol”

A 22-year-old apprentice is brought to a regional emergency department by friends at 11 pm after telling them he wanted to die. Six hours later his breath alcoh…

Psychiatry · Pre-internship · middle twist

A 44-year-old man attends the community mental health clinic. He has recurrent major depressive disorder and came home nine days ago after a two-week admission…

Psychiatry · Clinical rotations · middle twist

A 76-year-old woman was admitted five days ago with a severe depressive episode. Her general practitioner started amitriptyline 75 mg at night three weeks ago a…

Psychiatry · Pre-internship · middle twist

A 58-year-old man was admitted three and a half days ago after a fall from a ladder; his wife said he drinks nightly at the club. He was settled and oriented fo…

Psychiatry · Clinical rotations · middle twist

A 24-year-old man admitted with a first episode of psychosis started olanzapine six days ago and had the dose increased four days ago; he has also taken sertral…

Psychiatry · Pre-internship · niche

A 47-year-old truck driver is referred by his general practitioner with insomnia and low mood after two months of exhaustion. He is in bed for nine hours a nigh…

Psychiatry · Clinical rotations · common

An intern reviews a 47-year-old man in the emergency department twelve hours after he swallowed twenty paracetamol tablets on the night his wife left him. He is…

Psychiatry · Pre-internship · middle twist

A medical student presents a new admission at the morning meeting. She gives his age, occupation and living situation, the presenting complaint and its history,…

Psychiatry · Clinical rotations · common

A 46-year-old teacher completes a brief consumption-based alcohol screen at a routine health check. She reports two 100 mL glasses of wine on each of Monday to…

Psychiatry · Clinical rotations · middle twist

A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…

Psychiatry · Clinical rotations · middle twist

A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…

Psychiatry · Pre-internship · middle twist

A 34-year-old woman born in Vietnam is investigated for tiredness. Her periods are normal, she eats meat, takes no medicines, and was told she was slightly anae…

Acute Care · Clinical rotations · common

A 63-year-old woman with type 2 diabetes presents with two days of vomiting and upper abdominal pain, during which she has eaten almost nothing. She takes metfo…

Acute Care · Clinical rotations · middle twist

You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson…

Acute Care · Clinical rotations · common

A 26-year-old man is brought to a Perth emergency department by his brother. For six weeks he has slept about two hours a night, has given away his car and most…

Acute Care · Pre-internship · middle twist

An 81-year-old man is three days from a hemiarthroplasty for a fractured neck of femur. Overnight he believes he is on a fishing boat and asks his wife about tw…

Acute Care · Pre-internship · middle twist

A 52-year-old man who lives alone is found drowsy on his kitchen floor and brought in by ambulance. He drinks heavily, is visibly thin, and his neighbour says h…

Acute Care · Pre-internship · middle twist

A 46-year-old man who drinks a bottle of spirits most days has vomited for three days and eaten nothing; he stopped drinking two days ago. He is alert, with epi…

Acute Care · Clinical rotations · niche

A 41-year-old bricklayer attends the emergency department after cutting his forearm on a broken glass door at home. The wound is cleaned and sutured. On routine…

Acute Care · Clinical rotations · middle twist

A 23-year-old woman is medically cleared six hours after taking 20 of her flatmate's quetiapine tablets at the end of a relationship. She says she regrets it, i…

Acute Care · Pre-internship · middle twist