Results for “liver”

A 54-year-old Aboriginal man attends his general practice in a regional town for a diabetes review. Type 2 diabetes was diagnosed four years ago. His HbA1c is 5…

Ophthalmology · Clinical rotations · niche

A 71-year-old man says the vision in his right eye switched off ninety minutes ago, without pain. He can count fingers only on that side. The right pupil dilate…

Ophthalmology · Pre-internship · middle twist

You are the intern in a Perth emergency department at 0200. Paramedics have just handed over a 78-year-old woman brought in after a fall at home, using the stru…

Acute Care · Clinical rotations · common

A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…

Acute Care · Pre-internship · middle twist

A 26-year-old man who moved to Australia two years ago stands on a nail while clearing out a chicken run. He presents 30 hours later with a deep puncture throug…

Acute Care · Pre-internship · middle twist

You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…

Acute Care · Pre-internship · niche

A 74-year-old man with type 2 diabetes is brought to the emergency department by his wife because he has become sweaty, tremulous and muddled at home. His capil…

Acute Care · Pre-internship · niche

A 74-year-old woman is on day 4 after an open right hemicolectomy. Sodium chloride 0.9% 1 L eight-hourly, charted in the emergency department before her operati…

Acute Care · Pre-internship · common

A 70 kg man is brought to the emergency department three hours after his clothing caught fire at a campsite. He has deep burns covering 40% of his total body su…

Acute Care · Pre-internship · niche

A 68-year-old woman weighing 65 kg is in the emergency department with urinary sepsis. Intravenous antibiotics were given within 30 minutes of arrival and she h…

Acute Care · Pre-internship · middle twist

A 58-year-old man was admitted 36 hours ago with severe acute pancreatitis and has been given 7 litres of sodium chloride 0.9%. He is alert and normotensive, is…

Acute Care · Clinical rotations · middle twist

A 62-year-old man collapses in a hospital foyer and is found to be in ventricular fibrillation. Compressions have been continuous, adrenaline 1 mg has been give…

Acute Care · Pre-internship · niche

A 54-year-old man presents to a metropolitan hospital with a catheter laboratory after seventy minutes of central chest pain, which is continuing. His blood pre…

Acute Care · Pre-internship · middle twist

A 68-year-old woman is brought in from a residential aged care facility with fever and new confusion. Her temperature is 38.9 degrees Celsius, blood pressure 82…

Acute Care · Pre-internship · middle twist

In late July a 34-year-old man attends with both his housemates. All three have had headache, nausea and poor concentration that build up through each evening a…

Acute Care · Clinical rotations · middle twist

A 58-year-old man is admitted with three days of fever and a productive cough. He weighs 138 kg, uses continuous positive airway pressure at home for witnessed…

Acute Care · Pre-internship · middle twist

A 47-year-old man chokes on a piece of bread roll while talking at a workplace lunch. He coughs hard for a few seconds, then the coughing becomes silent and his…

Acute Care · Clinical rotations · middle twist

You are the first doctor to reach a 68-year-old man found slumped in a chair in the day therapy unit. He does not respond to voice or to a firm shake, he makes…

Acute Care · Pre-internship · middle twist

A 7-month-old infant on a children's ward is found unresponsive and making occasional gasps. You and the paediatric registrar, both trained in paediatric basic…

Acute Care · Pre-internship · niche

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Acute Care · Clinical rotations · common