Results for “renal”
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A 76-year-old man taking ramipril and spironolactone attends with three days of vomiting and increasing lethargy. He is drowsy but rousable. Pulse is 42/min and…
Acute Care · Pre-internship · common
A 63-year-old man with renal colic is receiving morphine 2.5 mg intravenously every 5 minutes on your instruction. He has now had 12.5 mg and says the pain has…
Acute Care · Pre-internship · middle twist
A 34-year-old bushwalker is winched out of a gully in the Stirling Range after a night in cold rain. He is unresponsive and pulseless. Cardiopulmonary resuscita…
Acute Care · Pre-internship · middle twist
A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…
Acute Care · Pre-internship · niche
A 22-year-old man is brought in 20 minutes after eating a satay skewer at a food van. On arrival he had widespread welts, audible wheeze and a blood pressure of…
Acute Care · Pre-internship · middle twist
A 62-year-old man wakes at 5 am with swelling of his lips and tongue that has worsened over three hours. He ate prawns and drank a glass of wine at a restaurant…
Acute Care · Clinical rotations · middle twist
A 79-year-old woman is brought in drowsy and clammy after two episodes of collapse at home. The monitor shows complete heart block with a ventricular rate of 34…
Acute Care · Pre-internship · middle twist
A 4-year-old boy weighing 16 kg has had profuse watery diarrhoea and vomiting for three days and has not passed urine since yesterday. In the emergency departme…
Acute Care · Pre-internship · 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 46-year-old man attends the clinic nine months after cardiac transplantation. He feels well, has no chest pain and walks four kilometres most days. He takes n…
Physiology · Foundations · middle twist
A 24-year-old man has passed up to twelve watery stools a day for five days after returning from a trek in Nepal. He is thirsty and weak. His pulse is 118/min a…
Physiology · Foundations · middle twist
A 58-year-old man has vomited large volumes each day for nine days, bringing up food eaten the day before. The vomitus contains no bile. He has lost 5 kg, his m…
Physiology · Foundations · middle twist
A 4-year-old girl has had puffy eyelids each morning for two weeks and now has swollen legs and a distended abdomen. Her blood pressure is 96/58 mmHg. Urine tes…
Physiology · Foundations · common
A 19-day-old boy has vomited after most feeds for the past week. He is 9 per cent below his birth weight, lethargic, with dry mucous membranes and cool peripher…
Physiology · Foundations · middle twist
A 32-year-old woman has passed large volumes of pale urine for four months and drinks about eight litres of water each day, having decided this would improve he…
Physiology · Foundations · middle twist
A 7-year-old boy has passed large volumes of urine and craved salty food since infancy, and he is small for his age. His blood pressure is 92/56 mmHg and he has…
Physiology · Foundations · middle twist
A 24-year-old man is brought to the emergency department after a motorcycle crash. He has an unstable pelvic fracture and has lost an estimated 1500 mL of blood…
Physiology · Foundations · middle twist
A 76-year-old man is admitted after falling down four steps at home. He weighs 75 kg. He has fractures of the left fifth to eighth ribs and it hurts him to brea…
Physiology · Foundations · middle twist
A 74-year-old man is reviewed on the ward because he has become drowsy. He is cold and mottled to the mid-forearms. Pulse 108 beats per minute and regular; bloo…
Physiology · Foundations · common
A 41-year-old man undergoes urgent debridement for a necrotising infection of the calf. Initial broad-spectrum treatment has been given, and deep tissue culture…
Emergency and Toxicology · Clinical rotations · middle twist