Results for “heart block”

A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…

Paediatrics · Pre-internship · middle twist

A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…

Paediatrics · Clinical rotations · common

A 46-year-old man taking venlafaxine 225 mg daily for depression is admitted after a fall at work. The orthopaedic team started slow-release tramadol two days a…

Psychiatry · Pre-internship · niche

A 76-year-old man with long-standing asthma has needed his reliever most nights for six weeks and now wakes twice a night wheezing. His preventer, budesonide wi…

Ophthalmology · Clinical rotations · middle twist

A 66-year-old man has had ninety minutes of central chest pain with sweating. His electrocardiogram shows 3 mm ST elevation in leads II, III and aVF with ST dep…

Acute Care · Pre-internship · niche

A 47-year-old man is reviewed in the cardiology clinic after a single episode of loss of consciousness while sitting at his desk. There was no warning and no pa…

Acute Care · Pre-internship · niche

A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…

Acute Care · Pre-internship · niche

A 79-year-old woman is brought in drowsy and clammy after two episodes of collapse at home. The monitor shows complete heart block with a ventricular rate of 34…

Acute Care · Pre-internship · middle twist

A 63-year-old man with two hours of chest pain has 3 mm of ST elevation in leads II, III and aVF. He is alert but cold and clammy. Pulse is 52 beats per minute…

Acute Care · Pre-internship · middle twist

A 71-year-old man is monitored after an inferior ST-elevation myocardial infarction. He becomes dizzy but remains conscious; the ECG shows regular P waves at 84…

Cardiovascular · Clinical rotations · common

A 28-year-old woman is brought in by ambulance 90 minutes after being found drowsy next to an empty box of amitriptyline. Her Glasgow Coma Scale score is 12, he…

Emergency and Toxicology · Pre-internship · common

A 66-year-old man with ischaemic cardiomyopathy attends for review. Echocardiography shows a left ventricular ejection fraction of 30%, and he remains breathles…

Cardiovascular · Clinical rotations · common

A 68-year-old man presents with 30 minutes of rapid palpitations and light-headedness. Three years ago he had a heart attack treated with a coronary artery sten…

Cardiovascular · Clinical rotations · common

A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…

Gastroenterology and Hepatology · Clinical rotations · middle twist

An 82-year-old man has had two falls since his blood pressure treatment was intensified. His seated blood pressure is 138/72 mmHg, falling to 108/60 mmHg after…

Geriatrics and Palliative Care · Clinical rotations · common

A 72-year-old man with a history of hypertension and heart failure with reduced ejection fraction (HFrEF) presents the emergency department due to sudden onset…

Year 4 · Clinical rotations · middle twist

What is the first-line pharmacologic treatment for gastroesophageal reflux disease (GERD)?

Year 3 · Clinical rotations · common