Results for “renal”
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166 questions found
A 31-year-old woman with chronic hypertension was taking labetalol before conception. At 30 weeks, her blood pressure has risen from 132/82 to 154/98 mmHg. A ur…
Obstetrics and Gynaecology · Clinical rotations · common
A 29-year-old woman at 29 weeks has gestational diabetes managed with dietary advice and exercise. For the past 2 weeks, her fasting capillary glucose concentra…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 70-year-old woman is recovering from a small ischaemic stroke and is found to have persistent atrial fibrillation. She has normal renal function and no eviden…
Cardiovascular · Clinical rotations · common
A 68-year-old man presents with a two-day history of fever, productive cough and pleuritic chest pain. He is alert, has a respiratory rate of 32/min, blood pres…
Respiratory · Clinical rotations · common
A 48-year-old man presents with severe persecutory psychosis and requires medication after verbal de-escalation has failed. He has no history of cardiac disease…
Psychiatry and Mental Health · Clinical rotations · middle twist
A 42-year-old woman has a second proximal deep vein thrombosis while taking rivaroxaban regularly for a previous unprovoked event. Her renal function is normal…
Cardiovascular · Clinical rotations · middle twist
A 66-year-old man with metastatic gastric adenocarcinoma develops a symptomatic proximal deep vein thrombosis. He has a friable gastric lesion with recent occul…
Cardiovascular · Clinical rotations · middle twist
A 49-year-old woman with a recently diagnosed adrenal pheochromocytoma requires drainage of a painful dental abscess before definitive tumour surgery. Her blood…
Emergency and Toxicology · Clinical rotations · niche
A 58-year-old man with primary adrenal insufficiency is scheduled for multiple dental extractions under general anaesthesia. He takes hydrocortisone 20 mg in th…
Endocrine and Metabolic · Clinical rotations · common
A 46-year-old woman taking prednisolone 7.5 mg each morning for polymyalgia rheumatica requires extraction of one mobile premolar. She is otherwise well, has ta…
Endocrine and Metabolic · Clinical rotations · middle twist
A 46-year-old woman presents with fatigue, jaundice and dark urine that began after a respiratory infection. She has mild splenomegaly but no renal or neurologi…
AMC · Clinical rotations · common
A 29-year-old woman has 6 weeks of amenorrhoea and two days of increasing right iliac fossa pain. Transvaginal ultrasonography shows a 30-mm right tubal gestati…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 34-year-old woman is reviewed 18 hours after an emergency caesarean section complicated by a 1.6 L postpartum haemorrhage. The bleeding has been controlled fo…
Obstetrics and Gynaecology · Pre-internship · common
A 29-year-old woman has a 1.4 L haemorrhage after an uncomplicated vaginal birth. The placenta is complete and there is no vaginal or cervical tear. Despite ute…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 32-year-old woman presents seven days after an uncomplicated delivery with five sudden, severe headaches over 48 hours. Each begins abruptly during bathing or…
AMC · Clinical rotations · middle twist
A 49-year-old man develops abrupt retro-orbital pain and vomiting while exercising. In the next hour he becomes drowsy and develops left ptosis with limitation…
AMC · Clinical rotations · middle twist
A 41-year-old woman has progressive weight gain, proximal muscle weakness and easy bruising. Her 24-hour urinary free cortisol is 780 nmol/day (reference less t…
Biomedical Science · Mechanisms of disease · middle twist
A 29-year-old woman has a plasma bicarbonate concentration of 15 mmol/L (reference 22–29 mmol/L) and a normal anion gap. Her urine pH is 6.2 during bicarbonate…
Biomedical Science · Mechanisms of disease · middle twist
A healthy adult receives an intravenous glucose load. Plasma glucose is 12 mmol/L (reference 3.5–7.8 mmol/L), the measured glomerular filtration rate is 120 mL/…
Biomedical Science · Mechanisms of disease · common
A 58-year-old man is receiving his first dose of intravenous vancomycin for a surgical site infection, charted to run over 60 minutes. Twenty minutes into the i…
Nursing · Clinical rotations · common