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A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…

Acute Care · Clinical rotations · middle twist

A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…

Acute Care · Clinical rotations · common

A 71-year-old man presents with two hours of severe left loin pain radiating into the groin, with vomiting. He has never had pain like this before. He smokes 20…

Acute Care · Clinical rotations · middle twist

A 4-year-old girl has had puffy eyelids each morning for two weeks and now has swollen legs and a distended abdomen. Her blood pressure is 96/58 mmHg. Urine tes…

Physiology · Foundations · common

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 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 76-year-old woman with atrial fibrillation, whose apixaban was stopped three weeks ago after a fall, presents with four hours of severe constant central abdom…

Cardiovascular · Clinical rotations · common

A 72-year-old man with hypertension and a 40 pack-year smoking history presents with sudden severe left flank pain radiating to the groin that began one hour ag…

Cardiovascular · Clinical rotations · common

A 72-year-old woman is undergoing evaluation for persistent postprandial fullness and intermittent epigastric discomfort. She has no history of reflux or dyspha…

Year 4 · Clinical rotations · middle twist