Results for “liver”
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A 38-year-old labourer has been off work for nine months with back pain after a workplace lift, and his compensation claim is being contested. On examination he…
Psychiatry · Pre-internship · middle twist
A 58-year-old man is on the surgical ward on the second day after an elective inguinal hernia repair. He is anxious and sweating, his hands tremble, and he has…
Psychiatry · Pre-internship · middle twist
A 31-year-old teacher describes eight months of constant worry about her students, her mortgage and her parents' health that she cannot switch off. She is tense…
Psychiatry · Clinical rotations · common
A 22-year-old woman is admitted after three weeks of increasingly odd behaviour. Her mother says she had a flu-like illness a month ago, then became convinced h…
Psychiatry · Clinical rotations · niche
A 29-year-old man is seen by the consultation-liaison team. Over the past twelve months he has needed steadily more alcohol for the same effect, has twice tried…
Psychiatry · Clinical rotations · middle twist
A 54-year-old man is admitted eighteen hours after his last drink, anxious, sweating and coarsely tremulous, with a pulse of 108/min and a blood pressure of 150…
Psychiatry · Pre-internship · middle twist
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 79-year-old woman with moderate Alzheimer disease in residential care has become resistive over the past week. She shouts and pushes staff away during showeri…
Psychiatry · Pre-internship · middle twist
A 27-year-old man with schizophrenia is assessed at home in Perth after his sister contacted the community mental health team. He stopped his olanzapine six wee…
Psychiatry · Pre-internship · niche
A 23-year-old woman is brought in by her partner with three weeks of escalating persecutory beliefs, agitation and rambling speech. Over the past week he has no…
Psychiatry · Clinical rotations · 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 58-year-old man was admitted three and a half days ago after a fall from a ladder; his wife said he drinks nightly at the club. He was settled and oriented fo…
Psychiatry · Clinical rotations · middle twist
You are the intern covering the orthopaedic ward at 2 am. A 79-year-old man, two days after hemiarthroplasty for a fractured neck of femur, is climbing over the…
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 22-year-old woman is admitted with three weeks of rapidly worsening persecutory beliefs and speech that is increasingly hard to follow. In the last week her f…
Psychiatry · Pre-internship · niche
A 74-year-old man who came to Australia from Vietnam at the age of 40 is brought to the general practice by his daughter. Over two years he has become repetitiv…
Psychiatry · Clinical rotations · middle twist
A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…
Psychiatry · Clinical rotations · middle twist
A 38-year-old woman is describing the end of her marriage at an outpatient appointment. She says she is fine about it now, honestly, while her voice shakes and…
Psychiatry · Clinical rotations · middle twist
A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…
Psychiatry · Pre-internship · middle twist
A 58-year-old man attends his general practice for review of his mood. Asked how he has been sleeping, he begins with the layout of his bedroom, moves on to the…
Psychiatry · Clinical rotations · common