Results for “meningitis”

An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…

Paediatrics · Clinical rotations · common

A 5-year-old boy weighing 20 kg is admitted with bacterial meningitis. He is alert, his peripheries are warm with capillary refill under two seconds, and his mu…

Paediatrics · Clinical rotations · middle twist

A 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maint…

Paediatrics · Pre-internship · niche

A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normall…

Paediatrics · Clinical rotations · common

A boy is born at 39 weeks after spontaneous labour. The membranes ruptured 26 hours before birth and his mother had a temperature of 38.4 degrees during labour;…

Paediatrics · Pre-internship · middle twist

A woman whose vaginal-rectal swab at 36 weeks grew group B streptococcus labours spontaneously at 39 weeks and 4 days. Her membranes rupture six hours before bi…

Paediatrics · Pre-internship · middle twist

A 78-year-old woman is on day six after an elective right hemicolectomy. Since the second postoperative day she has had episodes lasting about twenty minutes in…

Psychiatry · Pre-internship · niche

A 4-year-old girl has had three days of watery diarrhoea and vomiting. She is irritable with dry mucous membranes and reduced urine output; her hands are warm,…

Acute Care · Clinical rotations · middle twist

A 32-year-old woman shares a bedroom with her partner, who has been admitted with laboratory-confirmed meningococcal meningitis. She has no fever or rash and fe…

Obstetrics and Gynaecology · Clinical rotations · middle twist

An 8-month-old girl has a temperature of 39.4°C and has been unsettled for two days. She is drinking, has normal work of breathing and perfusion, and examinatio…

Paediatrics · Clinical rotations · middle twist

A 4-year-old boy presents with fever, vomiting and severe pain in both legs. Over the preceding two hours, dark purple spots have appeared over his buttocks and…

Paediatrics · Clinical rotations · common

A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…

Emergency and Toxicology · Pre-internship · common

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 24-day-old girl is brought to the emergency department after her mother measured an axillary temperature of 38.3°C at home. She was born at term after an unco…

Paediatrics · Clinical rotations · common

A 19-year-old man is brought to a rural general practice, 45 minutes from the nearest hospital, with six hours of fever, vomiting and severe pain in his legs. H…

Emergency and Toxicology · Pre-internship · common

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

An 84-year-old inpatient becomes agitated and inattentive over 12 hours. He repeatedly tries to pass urine, reports lower abdominal discomfort and has a palpabl…

Geriatrics and Palliative Care · Clinical rotations · common

A 20-year-old college student presents to the emergency department with a fever, severe headache, and neck stiffness for the past 12 hours. One of his roommates…

Year 4 · Pre-internship · middle twist