Bacterial infections

A 26-year-old man who moved to Australia two years ago stands on a nail while clearing out a chicken run. He presents 30 hours later with a deep puncture throug…

Pre-internship · middle twist

A 22-year-old man stood on a garden fork while digging; a tine passed through his boot into the sole of his right foot. The wound is a 3 cm deep puncture with s…

Clinical rotations · common

A 63-year-old man presents 30 hours after a garden fork went through his boot into the sole of his foot while he was turning manure. The puncture is 2 cm deep a…

Pre-internship · niche

A 54-year-old man presents with five days of fever, dry cough, headache and diarrhoea after returning from a Mediterranean cruise. He is confused, respiratory r…

Clinical rotations · middle twist

A 61-year-old man presents with four days of fever, a dry cough and increasing breathlessness. His wife reports he has been muddled since yesterday and has pass…

Clinical rotations · common