Results for “ischaemia”

A 52-year-old woman wakes with a drooping right eyelid and double vision. She has had a boring pain behind the right eye since yesterday. When the lid is lifted…

Ophthalmology · Clinical rotations · middle twist

An 82-year-old woman is admitted overnight with a fractured neck of femur after a fall at home. She has had no chest pain, breathlessness or palpitations. Preop…

Acute Care · Pre-internship · niche

A 54-year-old man presents to a metropolitan hospital with a catheter laboratory after seventy minutes of central chest pain, which is continuing. His blood pre…

Acute Care · Pre-internship · 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 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Acute Care · Clinical rotations · 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 22-year-old woman is brought to the emergency department after 30 minutes of rapid, deep breathing that began during an argument. She reports tingling around…

Physiology · Foundations · middle twist

A 62-year-old man describes tightness across the chest when he walks up the hill to his home; it settles within three minutes of rest. He first noticed it a mon…

Physiology · Foundations · common

A 19-year-old man sustains a closed fracture of the right tibial shaft in a football tackle. The leg was grossly angulated at the scene and was straightened bef…

Anatomy · Foundations · middle twist

A 32-year-old man is rescued from a burning warehouse. He is confused, hypotensive and tachypnoeic, with soot on his face but no wheeze. His pulse oximeter read…

Emergency and Toxicology · Pre-internship · middle twist

A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…

Cardiovascular · Clinical rotations · common

A 76-year-old man with persistent atrial fibrillation develops sudden severe abdominal pain and vomiting. He is pale and distressed, but his abdomen is initiall…

Emergency and Toxicology · Clinical rotations · middle twist

A 64-year-old woman with cirrhosis presents with fresh haematemesis and melaena. After intravenous access, cautious crystalloid and cross-matched blood have bee…

Cardiovascular · Clinical rotations · middle twist

A 29-year-old woman is admitted with nausea, jaundice and right upper-quadrant discomfort. Her alanine aminotransferase is 9200 U/L (5–40), aspartate aminotrans…

Cardiovascular · Clinical rotations · middle twist

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 64-year-old man becomes hypotensive shortly after reperfusion of an inferior ST-elevation myocardial infarction. He is distressed but has clear breath sounds,…

Cardiovascular · Clinical rotations · common

A 67-year-old man with a previous anterior myocardial infarction develops palpitations while being monitored in hospital. He is alert, has a blood pressure of 1…

Cardiovascular · Clinical rotations · common

A 29-year-old man presents with palpitations and light-headedness. His pulse is irregular at 190 beats per minute and the blood pressure is 126/74 mmHg. The ECG…

Cardiovascular · Clinical rotations · niche

A 71-year-old woman attends a community nursing service with a shallow ulcer above the left medial malleolus present for 8 weeks. The surrounding skin is brown-…

Nursing · Clinical rotations · middle twist

A 6-day-old boy born at term is brought to the emergency department after vomiting three times over four hours; the most recent vomitus was dark green. He fed n…

Paediatrics · Clinical rotations · middle twist