Health care system

You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…

Pre-internship · middle twist

A 6-year-old girl with spastic diplegic cerebral palsy attends a Perth outpatient clinic. She needs continuing physiotherapy and speech pathology to preserve fu…

Pre-internship · middle twist

A 4-year-old Aboriginal boy from a remote Kimberley community has bilateral chronic suppurative otitis media with a 35 dB conductive hearing loss and delayed sp…

Clinical rotations · middle twist

A 34-year-old primary school teacher describes six months of constant worry, difficulty getting to sleep and irritability that is now affecting her teaching. Sh…

Clinical rotations · common

At a hospital grand round on mental health funding, a registrar is asked how much Australia spends on mental health. She finds several different figures in circ…

Clinical rotations · niche

You are the intern on a geriatric medicine ward in Perth. An 84-year-old woman who developed a hyperactive delirium during her admission for pneumonia is being…

Clinical rotations · niche

A resident is completing the discharge summary for a woman treated for a first manic episode. The diagnosis was made at the bedside against the criteria in the…

Pre-internship · niche

A 58-year-old man walks into a Perth emergency department at 1900 hours saying he has had heavy central chest pain radiating to his jaw for the past 40 minutes.…

Clinical rotations · middle twist

A 47-year-old Aboriginal man from a regional town has type 2 diabetes and hypertension, for which metformin, perindopril and rosuvastatin are prescribed. At rev…

Clinical rotations · middle twist

A 79-year-old man living in Western Australia has recently been diagnosed with a terminal lung disease. He lives alone, receives the age pension, and holds a va…

Foundations · middle twist