Results for “inflammatory bowel disease”

A previously well 2-year-old boy has passed two large, dark red stools today. He has had no abdominal pain, has not drawn up his legs, has not vomited and has h…

Paediatrics · Clinical rotations · middle twist

A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…

Paediatrics · Clinical rotations · middle twist

A 7-year-old boy is brought in by his mother, who has biopsy-proven coeliac disease, as does his older sister. He is well, on the 50th centile for height and we…

Paediatrics · Pre-internship · niche

A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…

Psychiatry · Clinical rotations · common

A 45-year-old man presents after four days of worsening right lower quadrant pain, fever and anorexia. Examination finds a tender, relatively fixed mass in the…

Surgery and Perioperative Care · Clinical rotations · middle twist

A 69-year-old man has had three episodes of melaena over two months and requires repeated iron infusions. He takes no non-steroidal anti-inflammatory drugs and…

Gastroenterology and Hepatology · Clinical rotations · common

A 67-year-old man presents with recurrent passage of bright-red blood and clots. After initial fluid replacement, his blood pressure is 126/74 mmHg and pulse is…

Cardiovascular · Clinical rotations · middle twist

A 34-year-old man with established primary sclerosing cholangitis develops worsening pruritus and jaundice over six weeks, with a 5 kg weight loss. His bilirubi…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 42-year-old man presents with several months of pruritus followed by yellowing of the eyes. He has ulcerative colitis, an alkaline phosphatase of 680 U/L (30–…

Gastroenterology and Hepatology · Clinical rotations · common

A 28-year-old woman presents with eight months of crampy lower abdominal pain that eases after opening her bowels, together with bloating and a bowel habit alte…

Gastroenterology and Hepatology · Clinical rotations · common

A 67-year-old man presents to the emergency department with a 2-day history of severe diarrhea, abdominal cramping, and fever (38.5°C). His symptoms began appro…

Year 1 · Foundations · middle twist