Multidisciplinary teams and escalation of care

A 6-year-old boy with cystic fibrosis is admitted for his third pulmonary exacerbation this year. His mother tells the team she resigned from her job to manage…

Pre-internship · common

You are a final-year medical student on a Perth psychiatry ward. During the ward round the registrar tells a nursing student, in front of the patient and the wh…

Pre-internship · middle twist

You are the intern on an adult inpatient psychiatric unit. At the morning meeting the occupational therapist reports that a woman due for discharge tomorrow cou…

Pre-internship · middle twist

A 24-year-old man had a first episode of schizophrenia nine months ago and has remained well on risperidone. He lives with his mother, who gave up her part-time…

Clinical rotations · middle twist

A 27-year-old man with schizophrenia has been well for 18 months on paliperidone palmitate and attends a community mental health team. He lives with his parents…

Clinical rotations · middle twist

You are the intern on a paediatric ward in Perth at 9 pm. A 3-year-old admitted that morning with bronchiolitis has observations that all sit inside the normal…

Pre-internship · middle twist

You are the intern in a Western Australian emergency department. A 3-year-old girl was triaged two hours ago with fever and vomiting. The paediatric registrar r…

Pre-internship · middle twist

The mother of a 5-year-old girl admitted to a Perth public hospital with gastroenteritis tells the bedside nurse that her daughter is going flat and is not hers…

Pre-internship · middle twist

A 68-year-old man is on the surgical ward 6 hours after an open appendicectomy. The nurse records a respiratory rate of 28 breaths/min, heart rate 132/min, bloo…

Pre-internship · common