7 Scenarios contain the text: 'compromised' |
| Title | Description |
|---|---|
| Compromised airway | A 54 year old Tongan man with known nut allergy presents with difficulty breathing. His throat feels swollen and he is very distressed. It all started when he ate at a restaurant. D/O: Emergency Medicine (•••), Immunology (•••), Intensive Care Medicine (•••), Otorhinolaryngology (•••), Anaesthesiology (•) PTT: ENT, Seriously ill patient |
| Epistaxis | An 86 year old NZ European woman calls an ambulance when she develops a nose bleed that 'just won’t stop'. Her daughter, who lives with her, has tried pinching the end of her nose but that has not helped. You are asked to obtain some more information from the daughter. She tells you that her mother has been complaining of a blocked nose for the past few months and has had intermittent small nose bleeds. D/O: Emergency Medicine (•••), Otorhinolaryngology (•••) PTT: ENT |
| Fever and adenopathy | A 27 year old NZ European man presents with fever, drenching sweats and malaise for the last 8 days. He also complains of a sore throat and anorexia for the last 2 days. On examination he has mildly enlarged tonsils, widespread cervical, axillary and inguinal lymphadenopathy, but no hepatosplenomegaly. D/O: Infectious Diseases (•••), Microbiology (•••), Otorhinolaryngology (•••), Haematology (••) PTT: Infectious disease |
| Pancytopenia | A 28 year old man presents to the Emergency Department after being unwell with fever (temperature up to 39.7°C), extreme lethargy, and petechial haemorrhages in his skin for the last 5 days. He is usually fit and well. While he is being assessed, his blood pressure drops to 80/55 mmHg and his heart rate climbs to 134 beats per minute. His full blood count shows marked pancytopenia with haemoglobin 76 g/L, platelets <10 x 109/L, and no detectable segmented neutrophils. In the blood film a number of large, immature cells are observed. D/O: Haematology (•••), Oncology (•) PTT: Blood and lymph |
| Upper airway disease | A 65 year old Chinese man is seen by a GP on a house call. His breathing has become more difficult over time. Now he is making a harsh noise when he breathes in. D/O: Emergency Medicine (•••), Otorhinolaryngology (•••), General Practice (••), Ethics (•) PTT: Seriously ill patient |
| Major depressive episode | You have a regular patient at your practice, an 87 year old NZ European widow and retired school principal, whom you see about every three months. She has a history of controlled hypertension. She has two adult children who live overseas and with whom she has occasional contact. She presents with complaints of initial, middle and terminal insomnia, progressive weight loss, memory and concentration difficulties, and worry over the past six months. She relates these changes to her dog’s recent serious illness, but notes the dog survived. She adds that if her dog died she'd have little to live for. She denies being depressed claiming she 'doesn't agree with depression - I have no time for self-pity!' She reports drinking 2-3 glasses of sherry at night. She is very worried about 'electric shock therapy' which she hears that doctors use to treat 'old people with problems' because she considers it 'torture'. D/O: Psychiatry/Health Psychology (•••), General Practice (••) PTT: Mental health |
| Osteomyelitis | A ten year old Niuean child presents with a 2 day history of limp from a painful knee. He had chicken pox over a week ago, weighs 70 kg and is 140 cm tall. D/O: Infectious Diseases (•••), Microbiology (•••), Musculoskeletal System (•••), Orthopaedics (•••), Paediatrics (••) PTT: Musculoskeletal |
| Title | Description |
