Results for “liver”
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A 22-year-old university student in a wheat-belt town has had six weeks of low mood, poor concentration and loss of interest since failing two units. There is n…
Psychiatry · Clinical rotations · middle twist
A 29-year-old woman has had eight episodes over four months in which her heart pounds, she cannot get enough air, her hands tingle and she becomes certain she i…
Psychiatry · Clinical rotations · common
A 32-year-old man with bipolar I disorder has been euthymic for three years on sodium valproate 1200 mg daily, after two manic admissions in his twenties. At a…
Psychiatry · Pre-internship · niche
A 15-year-old boy is brought to a general practice by his mother, who says he has become withdrawn over four months. He has stopped playing football, his marks…
Psychiatry · Clinical rotations · common
You are the resident medical officer in a regional Western Australian emergency department at 2 am. Police have brought in a 34-year-old man found walking along…
Psychiatry · Pre-internship · middle twist
A 17-year-old boy was assessed six weeks ago with four months of social withdrawal and fleeting suspiciousness, and was referred for psychological therapy. He r…
Psychiatry · Pre-internship · middle twist
A 17-year-old girl is brought to her general practitioner by her father. Over eight months she has stopped seeing friends, dropped from an A to a D average, sle…
Psychiatry · Clinical rotations · middle twist
A 44-year-old man has adjustment disorder with anxious mood following a workplace investigation. Over eight weeks he has completed six sessions of cognitive beh…
Psychiatry · Pre-internship · middle twist
A 31-year-old woman is seen two months after her small business failed. She is tearful, sleeps poorly and has withdrawn from friends, but continues to care for…
Psychiatry · Clinical rotations · common
A 78-year-old retired farmer is brought in by his wife with four months of tiredness, vague upper abdominal discomfort and aching legs. He has lost 5 kg. He sto…
Psychiatry · Clinical rotations · middle twist
A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…
Psychiatry · Clinical rotations · common
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 woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…
Psychiatry · Clinical rotations · middle twist
A 15-year-old girl has lost 12 kg over five months and eats about 600 kcal a day. She is alert, has attended school all week, and her parents can start family-b…
Psychiatry · Pre-internship · middle twist
A 24-year-old woman with borderline personality disorder has cut her forearms after arguments about once a fortnight for two years, and has attended the emergen…
Psychiatry · Clinical rotations · common
A 16-year-old girl attends your general practice with her mother, who announces at the desk that her daughter needs to go on the pill for her periods. In the ro…
Psychiatry · Clinical rotations · common
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 15-year-old girl is brought to a regional emergency department by her mother after fainting at school. Over five months she has cut all fats from her diet and…
Psychiatry · Pre-internship · middle twist
A 38-year-old woman has attended your general practice eleven times in six months. Each visit follows a new bodily sensation - a headache, a skin blemish, a twi…
Psychiatry · Clinical rotations · common
A 26-year-old woman has been an inpatient for three weeks with recurrent bloodstream infections through her central venous catheter, growing a different mix of…
Psychiatry · Pre-internship · middle twist