Results for “alcohol”

An intern covering a Perth hospital's wards and its residential aged care liaison service is asked about five deaths in one afternoon. All five are Western Aust…

Acute Care · Clinical rotations · 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 58-year-old man with established alcohol-related cirrhosis presents with two episodes of black, offensive stool and light-headedness. His blood pressure is 10…

Infectious Diseases · Clinical rotations · middle twist

A 63-year-old man is admitted with fever, hypotension and rapidly progressive cellulitis of the forearm. He had been licked on an excoriated hand by his daughte…

Emergency and Toxicology · Clinical rotations · common

A 78-year-old woman becomes agitated and repeatedly pulls at her intravenous line on the second night after hip surgery. She alternates between asking where she…

Geriatrics and Palliative Care · Clinical rotations · common

A 29-year-old man is brought in shortly after his partner administered naloxone for suspected heroin overdose. He is yawning repeatedly, has abdominal cramps, d…

Emergency and Toxicology · Clinical rotations · common

A 46-year-old man is found vomiting beside an open container of an automotive fluid. He has tachypnoea, flank pain and oliguria; arterial blood gas analysis sho…

Emergency and Toxicology · Clinical rotations · common

A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…

Emergency and Toxicology · Pre-internship · common

A 46-year-old man with schizophrenia becomes restless and confused two days after his haloperidol dose was increased. He is febrile at 39.8°C, has widespread mu…

Emergency and Toxicology · Pre-internship · common

A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…

Haematology and Oncology · Clinical rotations · common

A 67-year-old woman with long-standing rheumatoid arthritis reports increasing fatigue and reduced exercise tolerance. Her haemoglobin is 92 g/L (115–155), mean…

Haematology and Oncology · Clinical rotations · middle twist

A 29-year-old man presents two days after running out of prescribed oxycodone, which he had been taking in increasing amounts for a year. He is yawning, restles…

Emergency and Toxicology · Clinical rotations · common

A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…

Emergency and Toxicology · Pre-internship · common

A 67-year-old man with alcohol dependence has mild withdrawal 10 hours after his last drink, with anxiety, tremor and nausea but no hallucinations or seizure. H…

Gastroenterology and Hepatology · Mechanisms of disease · middle twist

A 34-year-old woman presents with anxiety, poor sleep, nausea and a sense that people are watching her. She stopped taking alprazolam 72 hours ago after using 6…

Emergency and Toxicology · Clinical rotations · common

A 46-year-old man with longstanding alcohol dependence has eaten little during two weeks of vomiting. He is inattentive, walks with a broad-based gait and repea…

General Practice and Population Health · Clinical rotations · common

A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…

Emergency and Toxicology · Clinical rotations · niche

A 26-year-old man with schizophrenia stopped taking lorazepam prescribed for recurrent episodes of immobility and mutism. Two days later he is mute, alternates…

Psychiatry and Mental Health · Clinical rotations · niche

A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…

AMC · Clinical rotations · common

A 46-year-old man with recurrent major depression tells his general practitioner that he intends to take all his prescribed medicines after his partner leaves f…

Psychiatry and Mental Health · Pre-internship · common