Preoperative and postoperative care

An 81-year-old woman catches her shin on a tow bar. There is a 6 cm triangular flap of skin over the front of the lower leg, based distally, pink to its tip, wi…

Clinical rotations · middle twist

You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…

Pre-internship · niche

A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…

Clinical rotations · middle twist

A 66-year-old man is five days after an ultra-low anterior resection for rectal cancer and had initially been recovering well. Overnight he developed an irregul…

Clinical rotations · common

A 27-year-old woman presents to the emergency room 30 minutes after cutting her forearm with a knife while cooking. On examination, there’s a clean, linear lace…

Clinical rotations · common