Cerebrovascular conditions

A 22-year-old man was struck on the right temple by a cricket ball three hours ago in a country town. He was briefly unconscious, then walked off the field and…

Pre-internship · middle twist

A 79-year-old man on apixaban for atrial fibrillation is brought in by his wife. Over three weeks he has become slower, sleeps much of the day, has twice lost t…

Clinical rotations · common

A 41-year-old woman presents with a headache that began abruptly while she was lifting weights at the gym yesterday evening, reaching maximum intensity within s…

Clinical rotations · common

An 86-year-old man who lives alone is brought to the emergency department by his daughter because he has been muddled for two days and twice called her by his l…

Pre-internship · middle twist

A 44-year-old man presents three hours after a sudden severe occipital headache that reached its worst within a minute while he was straining at stool. He vomit…

Pre-internship · middle twist

A 71-year-old man noticed slurred speech 90 minutes ago while watching television and his wife drove him straight in. He speaks with a mild slur that is fully i…

Pre-internship · niche

A 58-year-old man has sudden vertigo and a hoarse voice, and chokes when he drinks. The palate elevates to the right and there is no gag response when the left…

Foundations · middle twist

A 59-year-old man suddenly develops difficulty speaking and weakness of the right arm while driving. His wife reports that, immediately beforehand, the right si…

Clinical rotations · common

A 63-year-old woman has three sudden episodes over two days of dizziness followed by double vision, slurred speech and veering to the left; each episode lasted…

Clinical rotations · common

A 44-year-old woman develops a severe headache while lifting her young child; she says it was already unbearable before she could put the child down. She has vo…

Clinical rotations · middle twist

An otherwise well 29-year-old woman presents eight days after an uncomplicated vaginal delivery with a headache that has gradually intensified over four days. I…

Clinical rotations · middle twist

A 48-year-old man has a large right middle cerebral artery infarction despite reperfusion treatment. Twenty-four hours later he becomes increasingly drowsy, dev…

Clinical rotations · middle twist

A 66-year-old man develops abrupt spinning vertigo and vomiting while gardening. Six hours later he remains unable to stand without support; examination shows h…

Clinical rotations · middle twist

A 72-year-old woman with hypertension reports three episodes in the past week in which the vision in her right eye became obscured from the top down, each lasti…

Clinical rotations · common

A 29-year-old woman presents with 10 days of progressive daily headache and brief episodes of greying vision. She is six weeks postpartum and takes a combined o…

Clinical rotations · middle twist

A 46-year-old woman develops a sudden, severe headache while lifting a suitcase. It reaches maximal intensity within seconds and is followed by vomiting and nec…

Clinical rotations · common

A 41-year-old woman presents nine hours after the onset of a severe headache that struck like a blow to the back of the head while she was lifting weights and r…

Clinical rotations · middle twist

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…

Clinical rotations · middle twist

A 1 year old child presents with bilateral retinal haemorrhages, confusion, drooling and sedated. He lives at home with his mother (a single parent) and has a d…

Clinical rotations · middle twist