Results for “intracranial haemorrhage”

A 4-year-old girl is admitted with four days of diarrhoea. She is 10 per cent dehydrated but not shocked, and her serum sodium on arrival is 172 mmol/L (135-145…

Paediatrics · Pre-internship · middle twist

A healthy boy is born at term after an uncomplicated pregnancy. His mother takes no regular medicines. She tells the midwife she does not want him to have any i…

Paediatrics · Pre-internship · middle twist

A 5-month-old boy is brought to the emergency department by his parents because he has been unsettled overnight. He is well grown, afebrile and feeding normally…

Paediatrics · Pre-internship · middle twist

A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…

Paediatrics · Clinical rotations · middle twist

A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…

Psychiatry · Pre-internship · middle twist

A 31-year-old woman at 34 weeks’ gestation presents with a severe frontal headache and flashing lights. Her blood pressure is 176/114 mmHg on two measurements 1…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 41-year-old woman develops a daily headache after several weeks of intense exercise. At first it occurred only after she stood for long periods, but it now be…

Neurology · Clinical rotations · common

An otherwise well 29-year-old woman presents eight days after an uncomplicated vaginal delivery with a headache that has gradually intensified over four days. I…

Obstetrics and Gynaecology · Clinical rotations · middle twist

An 82-year-old woman becomes confused and unsteady over three days while being treated for depression and hypertension. She is euvolaemic, her serum sodium is 1…

Geriatrics and Palliative Care · Clinical rotations · common

A 41-year-old woman presents with sudden right arm weakness and difficulty speaking. Her partner saw rhythmic jerking of the right hand for 90 seconds followed…

Neurology · Clinical rotations · common

A 78-year-old man presents with an anterior ST-elevation myocardial infarction at a hospital where primary percutaneous coronary intervention cannot be delivere…

Cardiovascular · 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 29-year-old woman presents with 10 days of progressive daily headache and brief episodes of greying vision. She is six weeks postpartum and takes a combined o…

AMC · Clinical rotations · middle twist

A 46-year-old woman develops a sudden, severe headache while lifting a suitcase. It reaches maximal intensity within seconds and is followed by vomiting and nec…

AMC · Clinical rotations · common

A 76-year-old woman taking warfarin for atrial fibrillation attends for a routine INR check, which returns at 11.0 (target 2.0–3.0). She recently completed a co…

Cardiovascular · Clinical rotations · middle twist

A 41-year-old woman presents nine hours after the onset of a severe headache that struck like a blow to the back of the head while she was lifting weights and r…

Neurology · Clinical rotations · middle twist

A 29-year-old woman presents ten days after an uncomplicated vaginal delivery under epidural analgesia with four days of worsening headache, which she says is w…

Obstetrics and Gynaecology · Clinical rotations · middle twist