13 Scenarios contain the text: 'upper airway' |
| Title | Description |
|---|---|
| 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 |
| Child with respiratory distress | A 2 year old Māori boy presents to the Emergency Department with a 2 day history of coughing. He has a low grade fever, rapid breathing and audible wheeze. He is with two female caregivers. This is his fifth attack of cough and wheeze. D/O: Paediatrics (•••), Respiratory System (•••), Emergency Medicine (••) PTT: Child health |
| 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 |
| Daytime sleepiness | A 40 year old truck driver who weighs 160kg presents after a minor road traffic crash. He ran into the car in front of him while waiting at traffic lights; he thinks he 'nodded off'. He experiences morning headaches and reports excessive daytime sleepiness. His blood pressure is 180/105 mmHg. D/O: Respiratory Medicine (•••), Respiratory System (•••), Cardiology (•), Cardiovascular System (•) PTT: Respiratory |
| 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 |
| Food allergy in paediatrics | An 18 month girl arrives in the Emergency Department via ambulance. Within minutes of having a bite of toast with peanut butter, she started coughing and became breathless. She also has chronic eczema which seems to flare and become itchy after she eats eggs. D/O: Immunology (•••), Paediatrics (•••), Dermatology (••), Otorhinolaryngology (••) PTT: Blood and lymph, Child health, Seriously ill patient |
| Obesity | A 42 year old NZ European woman comes for a follow-up GP visit because she recently had blood tests that have shown abnormal liver function. She is obese and complains of irregular periods and fatigue for a few months. She feels her mood is low. Her blood pressure is 156/94 mmHg and there is glucose in her urine. D/O: Digestive System (•••), Endocrinology (•••), Gastroenterology & Hepatology (•••), General Practice (•••), General Surgery (•) PTT: Digestive |
| Preoperative assessment and management | A 74 year old NZ European woman with diabetes is admitted for removal of a bowel tumour, and will require a general anaesthetic. You are on your anaesthetic attachment and are shadowing the anaesthetic registrar. You both go to see the patient preoperatively to assess her fitness for surgery and plan the anaesthesia. D/O: Anaesthesiology (•••), Cardiovascular System (••), Endocrinology (••), Respiratory System (••) PTT: Homeostasis |
| Sore throat management in the New Zealand context | A Māori mother brings her 9 year old son to the drop-in sore throat clinic in Dargaville after he complained of a sore throat for a few days. His sore throat is improving and on clinical examination he does not have any coryzal symptoms or fever currently. His mother says that her older son had treatment for “strep throat” a few weeks ago and is allergic to penicillin. D/O: Infectious Diseases (•••), Microbiology (•••), General Practice (••), Immunology (••), Paediatrics (••) PTT: Blood and lymph, Child health, Infectious disease |
| Sudden onset shortness of breath | A 17 year old Tokelauan woman, with a background of asthma, is brought into the Emergency Department after becoming suddenly short of breath with associated wheezy breathing. She is distressed but speaking in long sentences. D/O: Respiratory Medicine (•••), Respiratory System (•••), Immunology (••) PTT: Respiratory |
| Upper respiratory tract symptoms | A 4 year old NZ European girl is brought to your practice by her mother because she has had a 'runny nose' for two days and is now complaining of a sore throat. She has presented to the practice with similar problems twice in the last 6 months. On both previous occasions another doctor has prescribed antibiotic treatment (amoxycillin/clavulanate on one occasion and cefaclor on another). Her mother is concerned that there may be something wrong with her immune system. The child is up to date with all her immunisations. D/O: General Practice (•••), Infectious Diseases (•••), Otorhinolaryngology (•••), Paediatrics (•••), Respiratory Medicine (•••), Respiratory System (•••), Microbiology (••) PTT: Child health, Infectious disease, Respiratory |
| Fetal health | A 37 year old nulliparous NZ European woman presents to her GP when 8 weeks pregnant. Antenatal blood tests are arranged and she is offered prenatal screening for chromosomal abnormalities. The screening test is positive and her GP refers her to the specialist obstetric clinic. D/O: Obstetrics & Gynaecology (•••), Reproduction & Development (•••), Medical Genetics (••), Paediatrics (••) PTT: Women's health |
| Neonatal stridor | A 3 week old Cook Island Māori infant is seen by her GP. The Plunket nurse is concerned about stridor, which has been present almost all the time since birth. D/O: Otorhinolaryngology (•••), Paediatrics (•••), Respiratory System (•••), General Practice (•) PTT: Child health |
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