Results for “clinical examination”

A 72-year-old woman who came to Australia from Vietnam forty years ago is brought to a memory clinic by her son, who describes two years of gradually worsening…

Psychiatry · Clinical rotations · middle twist

A 19-year-old university student is in the emergency department six hours after her flatmate found her drowsy on the bathroom floor beside an empty blister pack…

Psychiatry · Clinical rotations · middle twist

A 78-year-old woman is on day six after an elective right hemicolectomy. Since the second postoperative day she has had episodes lasting about twenty minutes in…

Psychiatry · Pre-internship · niche

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

A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…

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 78-year-old woman is three days after a hemiarthroplasty for a fractured neck of femur. The night nurse reports that she was pulling at her drip at 2 am and c…

Psychiatry · Pre-internship · middle twist

A 62-year-old woman brought to the emergency department after a fall at home tells the registrar that her recent illness was sent by an ancestor spirit, and tha…

Psychiatry · Pre-internship · middle twist

A 67-year-old Yolŋu man from a remote community in north-east Arnhem Land is admitted to a Darwin hospital for assessment of low mood and weight loss. His first…

Psychiatry · Clinical rotations · middle twist

A 34-year-old woman has had a gritty, watering right eye since walking home through a dust storm yesterday afternoon. It hurts most when she blinks. She has nev…

Ophthalmology · Clinical rotations · middle twist

A 54-year-old man with type 2 diabetes of 14 years attends his general practice for review. His most recent glycated haemoglobin is 9.4% (79 mmol/mol) and his b…

Ophthalmology · Clinical rotations · middle twist

You are the intern covering a paediatric ward at a Perth public hospital at 2100. The mother of a 6-year-old boy admitted this morning with fever and vomiting s…

Acute Care · Pre-internship · middle twist

In late July a 34-year-old man attends with both his housemates. All three have had headache, nausea and poor concentration that build up through each evening a…

Acute Care · Clinical rotations · middle twist

You are the intern on a paediatric ward in Perth at 9 pm. A 3-year-old admitted that morning with bronchiolitis has observations that all sit inside the normal…

Acute Care · Pre-internship · middle twist

A 46-year-old warehouse worker has had low back pain for three weeks since lifting a pallet. For the past two days the pain has run down both legs to the feet.…

Acute Care · Clinical rotations · common

A 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Acute Care · Clinical rotations · middle twist

A 9-year-old girl is brought to a Western Australian emergency department by her mother with three weeks of intermittent abdominal pain. While her mother is out…

Acute Care · Pre-internship · middle twist

A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consciousness. He vomited once at the scene and not sin…

Acute Care · Clinical rotations · middle twist

A 61-year-old woman with metastatic pancreatic cancer is in the emergency department short-stay unit with vomiting. She already knows her disease is incurable.…

Acute Care · Clinical rotations · middle twist

A 19-year-old man walks into a small country hospital 40 minutes after being bitten on the right calf by a snake he disturbed while moving hay bales. A bystande…

Acute Care · Pre-internship · middle twist