Results for “clinical examination”

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 68-year-old man with a 20-year history of hypertension is examined before elective hernia repair. His pulse is regular at 72 beats per minute. With the bell o…

Physiology · Foundations · middle twist

A 22-year-old man is struck in the left lower chest by a cricket ball. Two hours later he has constant pain at the tip of the left shoulder, worse when he lies…

Anatomy · Foundations · common

A 19-year-old man has had 20 hours of pain that began around the umbilicus and has settled in the right lower abdomen, with anorexia and a temperature of 37.9 C…

Anatomy · Foundations · middle twist

A 58-year-old builder has noticed a bulge in the right groin over 6 months. It appears when he coughs or lifts and disappears when he lies down. On standing, th…

Anatomy · Foundations · middle twist

A 27-year-old man had an intercostal catheter inserted through the fifth intercostal space in the midaxillary line after a crush injury to the chest. Two weeks…

Anatomy · Foundations · middle twist

A 68-year-old man has become breathless over three weeks. He is examined sitting upright, and the right side of his chest expands less than the left. Bedside ul…

Anatomy · Foundations · middle twist

A 26-year-old man is referred after a harsh systolic murmur is heard at a pre-season sports medical. He has no symptoms and plays club football. Echocardiograph…

Anatomy · Foundations · common

A 52-year-old woman has had two months of numbness over the right forehead, the right upper eyelid and the tip of her nose, with a gritty feeling in the right e…

Anatomy · Foundations · middle twist

A 44-year-old man has had drooping of the right side of his face for three days. He drools from the right corner of his mouth, the right nasolabial fold is flat…

Anatomy · Foundations · common

A 44-year-old man has had 18 months of worsening hearing on the left with constant ringing in that ear. He still follows conversation in a quiet room but cannot…

Anatomy · Foundations · middle twist

A 58-year-old man has sudden vertigo and a hoarse voice, and chokes when he drinks. The palate elevates to the right and there is no gag response when the left…

Anatomy · Foundations · middle twist

A 27-year-old man was struck on the head at football a week ago. He now sees two images, one above the other, worst when reading or going down stairs. The verti…

Anatomy · Foundations · middle twist

A 24-year-old man is stabbed in the right groin, the wound lying just below the inguinal ligament. Bleeding is controlled in the emergency department. He cannot…

Anatomy · Foundations · common

A 45-year-old storeman has three weeks of neck pain radiating into the right arm. Pushing a heavy door open with that arm is weak, and so is bending the wrist f…

Anatomy · Foundations · middle twist

A 44-year-old cabinetmaker develops an ache in the upper right forearm over several weeks and then finds he cannot straighten his fingers. On examination he can…

Anatomy · Foundations · middle twist

A 24-year-old man returns to clinic three weeks after coming off his motorbike onto his right shoulder. Radiographs at the time showed a fracture through the su…

Anatomy · Foundations · common

A 3-year-old boy who previously used short sentences has stopped speaking over the past six weeks. His parents also report that he no longer understands familia…

Paediatrics · Clinical rotations · middle twist

A 59-year-old man suddenly develops difficulty speaking and weakness of the right arm while driving. His wife reports that, immediately beforehand, the right si…

Neurology · Clinical rotations · common

A 46-year-old man wakes with markedly reduced hearing in his right ear and a continuous high-pitched noise. He has no pain, discharge or recent infection, and t…

Emergency and Toxicology · Pre-internship · middle twist