Phys · Clinical Cases
239 units across 15 domains — DCE long-case and short-case clinical station preparation.
Domain
DCE clinical case: a 54-year-old woman with primary biliary cholangitis examined in the short-case station — the twelve-step routine, the constellation of chronic liver disease stigmata, the differentiation of organomegaly, the evidence-based examination of ascites, the oral presentation, and the probing-question discussion, plus a second short-case scenario of massive splenomegaly of unknown cause.
DCE long-case station: post-anaphylaxis review of a young woman with two reactions in eight months — history reconstruction, examination for triggers and comorbidity, and a management plan covering device, plan, referral and cofactor control, with presentation template and probing questions.
DCE short-case clinical station: the systematic cardiovascular examination of a 72-year-old man with severe aortic stenosis, covering the eleven-step routine, the timing-based murmur framework, the dynamic manoeuvres, the apex beat character, the bedside markers of severity, the structured presentation, the examiner discussion by finding, and the integration with the echocardiogram and the heart-team decision.
DCE long-case and short-case station for Clinical Research AND Research Ethics.
DCE long-case and short-case station for Confidentiality Privacy AND Mandatory Reporting.
DCE short-case and long-case clinical station: a patient with a pupil-involving posterior communicating artery aneurysm causing a third nerve palsy, and an integrated long case of a brainstem stroke with multiple cranial-nerve findings, for comprehensive cranial-nerve assessment and management planning.
DCE long-case clinical station: comprehensive assessment of a 48-year-old Aboriginal woman from a remote community admitted with decompensated rheumatic heart disease, type 2 diabetes, chronic kidney disease, chronic otitis media, depression, suboptimal secondary prophylaxis, and a social context of isolation and system disengagement — covering the cultural safety framework, the integrated management of multisystem disease, the approach to the Aboriginal Health Worker and community-controlled health service, the culturally safe communication and discharge planning, and the physician's role in Closing the Gap — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case clinical station for drug allergy and desensitisation: comprehensive patient assessment, presentation and discussion for a penicillin allergy label complicating essential endocarditis therapy, including the risk-stratified delabeling strategy, side-chain-based beta-lactam cross-reactivity, drug provocation testing as the gold standard, the Brigham 12-step desensitisation protocol and the 48-hour tolerance rule, plus a focused skin examination routine for a drug eruption and the DRESS and SJS or TEN phenotypes.
DCE long-case and short-case station for END OF Life Decision Making.
DCE long-case clinical station: comprehensive appraisal, application and shared decision-making for a 75-year-old woman with non-valvular atrial fibrillation, stage 3b chronic kidney disease and a recent mechanical fall, in whom the evidence for stroke-prevention anticoagulation must be integrated with clinical expertise and the patient's values — covering the focused PICO question, the applicability of the pivotal DOAC trial evidence to a patient near the renal exclusion threshold, the computation of the absolute benefit (NNT for stroke) and harm (NNH for major bleeding) for her baseline risk, the GRADE strength and quality of the recommendation, the shared decision-making conversation in plain language, and the documentation and follow-up — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case station for Examination OF THE Unconscious Patient.
DCE clinical case: a 34-year-old man with generalised lymphadenopathy from Hodgkin lymphoma examined in the short-case station — the head-to-toe lymph node routine, the five characteristics of every node, the interpretation of rubbery consistency, the abdominal examination with moderate splenomegaly, the oral presentation, and the probing-question discussion, plus a second short-case scenario of massive splenomegaly from chronic myeloid leukaemia.
DCE long-case and short-case clinical station for medical errors and open disclosure: comprehensive patient assessment, presentation and discussion for a tenfold insulin overdose and a failure to cease metformin in acute kidney injury in a 72-year-old man with pneumonia, including the classification of the event, the Swiss cheese model analysis, the staged Australian Open Disclosure Framework with the apology that is not an admission of liability, root cause analysis with the London Protocol contributory factors, the just culture algorithm, the second victim, and the reporting and medico-legal pathways, plus a focused discussion of the classification of error types and the contributory-factor analysis.
DCE long-case and short-case station for Medical Ethics Autonomy Beneficence NON Maleficence Justice.
DCE long-case clinical station: comprehensive assessment of a 78-year-old woman with advanced Alzheimer disease and aspiration pneumonia whose enduring guardian son demands intensive care the team considers futile — covering the capacity assessment (two-stage test, four functional abilities), the best-interests framework (substituted judgement standard), the goals-of-care conversation with the son, the ceiling of treatment (do not resuscitate but do not abandon), the role of the substitute decision-maker, and the escalation pathway to the guardianship tribunal — structured for FRACP DCE and MRCP PACES.
DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with heart failure with reduced ejection fraction, atrial fibrillation, type 2 diabetes, stage 3b CKD, osteoporosis and mild cognitive impairment, admitted with a mechanical fall, on 14 medications — covering the comprehensive multi-morbidity assessment (CGA, medication reconciliation and review with STOPP/START and Beers, function, cognition, frailty, social), the integrated and prioritised management plan anchored to her goals, the deprescribing plan, the advance care plan, and the coordinated follow-up — structured for FRACP DCE and MRCP PACES.
DCE short-case clinical station: a 24-year-old man examined neurologically in the lower limbs who has Friedreich ataxia — the eight-step routine, the localisation, the differential and the discrimination from Charcot-Marie-Tooth, the investigations, and the discussion, with a second short-case station on a patient with a common peroneal nerve palsy foot drop and a third on a patient with a spastic hemiparetic gait.
DCE short-case clinical station: a 64-year-old man examined neurologically in the upper limbs who has the combined UMN and LMN signs of motor neuron disease — the eight-step routine, the localisation, the differential and the exclusion of mimics (cervical myelopathy, multifocal motor neuropathy), the investigations, and the discussion, with a second short-case station on a patient with a cerebellar intention tremor and a third on a patient with a carpal tunnel syndrome pattern.
DCE long-case clinical station: comprehensive perioperative assessment and management of a complex elderly patient with atrial fibrillation on a DOAC, insulin-treated diabetes, COPD, and a recent coronary stent facing major cancer surgery — cardiac risk stratification, perioperative diabetes, anticoagulation and antiplatelet reconciliation, pulmonary optimisation, and VTE prophylaxis within an ERAS pathway, with a structured presentation and probing-question discussion.
DCE long-case and short-case station for Physician Wellbeing Burnout AND Professional Resilience.
DCE long-case and short-case station for Preoperative Medical Assessment AND Optimisation.
DCE long-case clinical station: comprehensive assessment of a 22-year-old man presenting with his second episode of invasive meningococcal disease in 18 months, leading to the diagnosis of terminal complement (C6) deficiency — covering the CH50 and AH50 interpretation, the preventive plan (meningococcal vaccination, standby antibiotics, family screening), the distinction from properdin deficiency, and the long-term surveillance and counselling — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case station for Quality AND Safety IN Medicine.
DCE long-case clinical station: comprehensive post-MET-call management of a 68-year-old man admitted with cellulitis who deteriorates to septic shock with acute kidney injury, hyperkalaemia, and new atrial fibrillation — the four-limb RRS analysis, afferent-limb failure identification, fluid strategy in ischaemic heart disease, hyperkalaemia management, SBAR handover, the ceiling-of-care decision, and the post-MET plan, with probing-question discussion.
DCE short-case clinical station: a systematic respiratory examination of a 66-year-old woman with progressive exertional dyspnoea, weight loss, and a history of smoking, presenting with bilateral fine basal crackles, finger clubbing, and the signs of interstitial lung disease — the examination routine, the interpretation of findings, the differential diagnosis, the investigation plan, and the examiner discussion questions.
DCE short-case clinical station: a 52-year-old woman examined by hand examination who has the classic symmetrical inflammatory polyarthritis of seropositive rheumatoid arthritis — the six-step routine, the diagnosis, the DAS28 disease activity assessment, the investigations, and the integrated management plan, with a second short-case station on a patient with osteoarthritis hands and a third on a patient with psoriatic arthritis and dactylitis.
DCE long-case and short-case station for Rheumatological Examination Spine AND Lower Limbs.
DCE short-case clinical station: a systematic skin examination of a 28-year-old woman with photosensitive facial rash and oral ulcers, presenting with the malar rash of SLE sparing the nasolabial folds — the six-step examination routine from general inspection through hands, face, trunk, legs and specific patterns, the morphology-based interpretation, the differential of the facial rash, the investigation plan, and the examiner discussion questions.
DCE short-case and long-case clinical station: a patient with an acute Wernicke aphasia from a dominant-hemisphere stroke for the speech-and-cognition short case, and an integrated long case of motor neuron disease with a bulbar-onset dysarthria and pseudobulbar features, for comprehensive speech assessment and integrated management.
DCE long-case clinical station: comprehensive management of a 78-year-old woman with community-acquired pneumonia who acutely deteriorates overnight with septic shock, new atrial fibrillation, AKI with hyperkalaemia, and delirium, on a background of ischaemic heart disease, CKD, diabetes, and aortic stenosis — NEWS2 interpretation and escalation, ABCDE structured assessment, fluid strategy in aortic stenosis, hyperkalaemia management, SBAR handover, and the ceiling-of-care decision, with probing-question discussion.
DCE long-case clinical station: comprehensive management of an 82-year-old man with an acute confusional state from multifactorial delirium (pneumonia, UTI, severe hyponatraemia, AKI, chronic subdural on apixaban, superimposed on vascular dementia) — ABCDE resuscitation, CAM diagnostic algorithm, DIMTOP differential, controlled hyponatraemia correction, subdural management, drug review, and the delirium prevention bundle, with probing-question discussion, plus a DCE short case on the bedside cognitive assessment.
DCE short-case clinical station: a systematic thyroid status examination of a 48-year-old woman with palpitations, heat intolerance and weight loss, presenting with the Graves-specific eye signs, a diffuse goitre with a bruit, atrial fibrillation, and pretibial myxoedema — the examination routine from behind the patient, the interpretation of findings, the differential diagnosis, the investigation plan, and the examiner discussion questions.
DCE long-case clinical station: comprehensive management of a 34-year-old man with axial spondyloarthritis presenting with inflammatory back pain, psoriasis and a prior episode of uveitis — the triage framework, the inflammatory versus mechanical discrimination, the ASAS criteria, the role of the imaging, the extra-articular surveillance, the pharmacological escalation, and the biopsychosocial management, with the probing-question discussion and a short-case station on the systematic spine examination.
DCE long-case clinical station: comprehensive management of a 68-year-old woman with type 2 diabetes, hypertension and hyperlipidaemia who presents with an acute inferior STEMI — the catheter-lab activation, the antiplatelet and anticoagulant therapy, the right ventricular assessment, the diabetes management, and the secondary prevention, with probing-question discussion and a short-case station on the systematic cardiovascular examination.
DCE long-case clinical station: comprehensive management of a 72-year-old man with COPD and ischaemic heart disease who presents with acute dyspnoea, a productive cough, orthopnoea, new atrial fibrillation, a raised NT-proBNP and a raised troponin — the time-course framework, the biomarker interpretation, the oxygen strategy, the integration of the COPD, the heart failure and the infection, the management of the atrial fibrillation, and the long-term optimisation, with probing-question discussion and a short-case station on the systematic respiratory examination.
DCE long-case clinical station for undifferentiated fatigue: comprehensive patient assessment, presentation and discussion for multifactorial fatigue in a 62-year-old woman with type 2 diabetes, hypothyroidism, iron deficiency, obesity, obstructive sleep apnoea and a likely depression, plus a focused bedside examination demonstrating the discriminators (the pallor, the koilonychia, the postural drop), and a short-case discussion of the Addison disease, the ME/CFS and the medication-review pitfalls.
DCE long-case clinical station: comprehensive management of a 62-year-old retired park ranger with six weeks of fever, drenching night sweats and weight loss, on a background of treated pulmonary tuberculosis and adalimumab for psoriatic arthritis, with rural and Vietnam exposures, a supraclavicular lymph node and splenomegaly — the staged diagnostic protocol, the role of FDG-PET-CT, the management of the anti-TNF therapy, the threshold for empiric therapy, and the communication of diagnostic uncertainty, with probing-question discussion.
DCE long-case clinical station: comprehensive management of a 58-year-old Nigerian-born man who presents with a six-week history of a painless left supraclavicular node, B symptoms, a raised LDH and a widened mediastinum — the localised-versus-generalised framework, the red-flag screen, the biopsy decision (excisional biopsy as the gold standard for lymphoma), the parallel tuberculosis work-up, the Lugano staging, the R-IPI prognostication, and the integrated management plan, with probing-question discussion and a short-case station on the systematic lymph node examination.
DCE long-case clinical station: comprehensive management of a 70-year-old man with heart failure with reduced ejection fraction, cirrhosis from NAFLD, type 2 diabetes and hypertension who presents with generalised oedema, ascites, a raised NT-proBNP, a SAAG confirming portal hypertension, and a rising creatinine — the Starling forces framework, the SAAG interpretation, the NT-proBNP in the cirrhotic context, the management of the competing mechanisms, the amlodipine contribution, and the long-term optimisation, with probing-question discussion and a short-case station on the examination for oedema.
DCE long-case clinical station for undifferentiated palpitations: comprehensive patient assessment, presentation and discussion for paroxysmal atrial fibrillation in a 68-year-old retired nurse with hypertension, type 2 diabetes, and chronic kidney disease (CHA2DS2-VASc 4), plus a focused cardiovascular examination demonstrating the irregularly irregular pulse of atrial fibrillation and the thyroid goitre of the underlying thyrotoxicosis, and a short-case discussion distinguishing the broad-complex tachycardia, the WPW syndrome, and the channelopathies.
DCE long-case and short-case station for Undifferentiated Presentations Abdominal Pain.
DCE long case and short case clinical station for the diagnostic approach to the patient with the involuntary weight loss: the comprehensive patient assessment, the presentation, and the discussion for the 68-year-old man with the weight loss, the anorexia, the early satiety, and the iron deficiency anaemia with the positive FIT (the GI malignancy scenario), plus the focused general examination routine for the cachectic patient, and the short-case discussion of the hyperthyroidism and the Addison disease as the high-yield alternative diagnoses.
DCE long-case and short-case clinical station for urticaria and angioedema: comprehensive patient assessment, presentation and discussion for chronic spontaneous urticaria with the four-step EAACI treatment ladder and the thyroid autoimmunity association in a 34-year-old woman, plus a focused skin examination routine demonstrating dermographism and the histamine-versus-bradykinin branch point, and a short-case discussion distinguishing urticarial vasculitis and hereditary angioedema from ordinary CSU.
DCE long-case clinical station: comprehensive acid-base interpretation and integrated management in a complex septic, diabetic patient with metformin-associated lactic acidosis and euglycaemic DKA, structured presentation, and discussion of compensation, delta-delta, and treatment priorities.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for acute kidney injury, including volume status examination and integrated management.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for chronic kidney disease, including dialysis access examination and integrated management of the cardiorenal-metabolic patient.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for diabetic kidney disease, including integrated management of the cardiorenal-metabolic patient, progression-slowing therapy, complication management, and focused examination of the diabetic patient.
DCE short-case station: examination for tetany and latent hypocalcaemia — Chvostek and Trousseau technique with honest sensitivity, the calcium-focused history, presentation template and discussion.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for glomerulonephritis, including lupus nephritis with multisystem disease, examination findings, integrated management, and evidence-based immunosuppression.
DCE short-case station: the hypertension examination with renovascular detection built in — correct measurement, fundi, bruits, kidneys and peripheral pulses — with presentation template and probing questions.
DCE long case for kidney transplantation: a 52-year-old man with diabetic kidney disease, six months post deceased-donor kidney transplant, presenting with a rising creatinine and BK viraemia. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (immunosuppression reduction, exclusion of concurrent rejection, cardiovascular risk modification, lifelong surveillance), and probing examiner questions.
DCE long-case and short-case clinical station for nephrolithiasis: comprehensive assessment of a 48-year-old man with Crohn disease and recurrent calcium oxalate stones from enteric hyperoxaluria, with chronic diarrhoea, hypocitraturia, and a counterproductive low-calcium diet. Covers the pathophysiology of enteric hyperoxaluria, the metabolic evaluation, the acute management of renal colic, the prevention strategy (normal calcium with meals, potassium citrate, low-oxalate low-fat diet), and the emergency of obstructive pyelonephritis. Plus branching discussions on primary hyperparathyroidism, struvite staghorn calculus, and the SUSPEND trial evidence for medical expulsive therapy.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for nephrotic syndrome, including abdominal and oedema examination, cause-specific immunosuppression (rituximab for membranous — MENTOR), and integrated complication prevention.
DCE short-case station: the abdominal examination in ADPKD — bilateral ballotable renal masses, cystic hepatomegaly, hernias, blood pressure and hypertensive fundi — with presentation template and probing questions.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for potassium disorders. The long case is a complex CKD patient with severe hyperkalaemia on a cardiorenal drug regimen, addressing the four-pillar emergency management, the dialysis decision, and the cardiorenal trade-off of maintaining guideline-directed therapy. The short case covers the focused examination and discussion of a patient with ECG changes of potassium disorder.
DCE long-case and short-case station for Renal Cell Carcinoma AND Urothelial Malignancy.
DCE short-case station: examination of the dialysis patient — the arteriovenous fistula (thrill, bruit, aneurysm, steal signs), the PD catheter exit site, and the volume and cardiovascular survey that complete the dialysis examination — with presentation template and probing questions.
DCE long-case and short-case station for Renal Tubular Acidoses AND Inherited Tubular Disorders.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for sodium disorders, including severe hyponatraemia in a complex elderly patient with the competing risks of cerebral oedema and osmotic demyelination, and a focused short case on volume status assessment.
DCE data station with long-case framing: urine microscopy and medication-chart reasoning in suspected drug-induced acute interstitial nephritis — interpretation, presentation template, management and probing questions.
DCE long-case and short-case station for Urinary Tract Infection AND Complicated UTI Pyelonephritis.
DCE long-case and short-case clinical station for acute leukaemia: comprehensive patient assessment, presentation, and discussion for newly diagnosed acute myeloid leukaemia in a 64-year-old woman with type 2 diabetes and ischaemic heart disease, including intensive versus lower-intensity induction, ELN 2022 risk stratification, the transplant decision, neutropenic sepsis, and a focused general-systems haematology examination.
DCE long-case clinical station: comprehensive investigation and management of iron deficiency anaemia in a complex patient with possible gastrointestinal malignancy, structured presentation, and discussion of the MCV classification, iron-studies interpretation, transfusion thresholds, and the mandatory GI workup.
DCE long-case and short-case station for Bleeding Disorders AND Thrombocytopenia.
DCE long case for chronic myeloid leukaemia: a 58-year-old man with newly diagnosed chronic-phase CML and significant cardiovascular comorbidity (prior myocardial infarction and hypertension). Full assessment, SASPOP opening, structured problem list, integrated management plan (the TKI choice constrained by cardiovascular risk — imatinib preferred over nilotinib for its vascular safety and over dasatinib for its pleural and pulmonary risk), BCR-ABL1 monitoring milestones, the rising-transcript workup, treatment-free remission candidacy, and probing examiner questions.
DCE long-case clinical station: comprehensive assessment of a young man with severe haemophilia A on emicizumab presenting with an acute bleed, plus discussion of the modern management of haemophilia, inhibitor management, and the approach to the inherited bleeding disorders.
DCE long-case and short-case station for Haematological Investigation Blood Film Marrow Coagulation Tests.
DCE long case — a transplant survivor with chronic graft-versus-host disease and late effects, modelling the full patient assessment, opening statement, problem list, integrated management plan and probing questions.
DCE long-case and short-case station for Haemolytic Anaemia.
DCE short-case station: examine this patient for signs of iron deficiency anaemia — a systematic routine from hands to mouth to cause-hunt, the signs that matter, a presentation template, and the discussion that follows.
DCE long-case and short-case clinical station for lymphoma: comprehensive patient assessment, presentation, and discussion for newly diagnosed bulky stage IIB classical Hodgkin lymphoma in a 34-year-old man with asthma, including PET-adapted ABVD versus A+AVD, the International Prognostic Score, fertility preservation, bleomycin pulmonary toxicity monitoring, and a structured survivorship plan, plus a focused lymphadenopathy examination routine.
DCE long-case and short-case clinical station for multiple myeloma: comprehensive patient assessment, presentation, and discussion for newly diagnosed symptomatic myeloma in a 66-year-old man presenting with cast nephropathy, hypercalcaemia and back pain on an NSAID, including the IMWG diagnostic criteria, transplant-eligible VRd induction, the bortezomib-first principle in renal failure, spinal cord compression emergencies, and a focused general-systems and skeletal examination.
DCE long-case and short-case station for Myelodysplastic Syndromes.
DCE long-case and short-case station for Myeloproliferative Neoplasms.
DCE long-case and short-case clinical station for thrombophilia and VTE: comprehensive patient assessment, presentation, and discussion for a complex patient with recurrent venous thromboembolism, triple-positive antiphospholipid syndrome and metastatic breast cancer, including warfarin over DOACs (TRAPS trial), cancer-associated VTE indefinite duration, HIT recognition, pregnancy planning, and a focused general-systems haematology examination.
DCE long-case station: major gastrointestinal haemorrhage on apixaban — resuscitation, massive transfusion reasoning, reversal and anticoagulation resumption, with presentation template and probing questions.
DCE long case for acute liver failure: a 19-year-old woman with Wilson disease acute liver failure presenting with jaundice, confusion and Coombs-negative haemolytic anaemia. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (urgent transplant referral, chelation, cerebral oedema prophylaxis, no routine INR correction, genetic counselling), and probing examiner questions.
DCE long case for autoimmune liver disease: a 54-year-old woman with an AIH-PBC overlap syndrome presenting with fatigue, pruritus and jaundice. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (UDCA for the PBC component, prednisolone plus azathioprine after TPMT check for the AIH component, cirrhosis surveillance, pruritus and bone health management, transplant assessment), and probing examiner questions.
DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for chronic liver disease and cirrhosis examination preparation.
DCE long case for hepatocellular carcinoma: a 62-year-old man with HCV cirrhosis (post-SVR) found to have a LI-RADS 5 lesion on surveillance. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (BCLC A curative treatment decision between resection, ablation and transplant based on portal pressure assessment, management of portal hypertension, underlying liver disease, and lifelong surveillance), and probing examiner questions.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for portal hypertension examination preparation.
DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for chronic viral hepatitis examination preparation, covering HBV management, HCV DAA therapy, and cirrhosis surveillance.
DCE long-case and short-case clinical station for acute pancreatitis: comprehensive patient assessment, presentation and discussion for severe necrotising gallstone pancreatitis in a 58-year-old man with multi-organ failure, infected walled-off necrosis managed with the step-up approach, new-onset diabetes, and the need for same-admission cholecystectomy planning. Plus a focused abdominal examination routine demonstrating epigastric tenderness, ileus, and the Cullen and Grey Turner signs, and a short-case discussion on severity assessment, the Revised Atlanta Classification, and the step-up approach.
DCE long-case and short-case clinical station for chronic pancreatitis: comprehensive assessment of a 49-year-old man with alcohol-related chronic pancreatitis in the burnt-out phase, with chronic pain, severe exocrine insufficiency and steatorrhoea, brittle type 3c diabetes with a hypoglycaemic episode, malnutrition, and an inflammatory head mass requiring cancer exclusion. Plus a focused abdominal examination demonstrating cachexia, epigastric tenderness, and a palpable mass, and a short-case discussion on the TIGAR-O aetiology, the analgesic ladder, the endoscopic-versus-surgical decision after Cahen, and pancreatic cancer surveillance.
DCE long-case and short-case station for Colorectal Cancer.
DCE long-case and short-case station for Functional GI Disorders.
DCE long-case and short-case station for Gallstone Disease AND Biliary Pathology.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for acute gastrointestinal bleeding examination preparation, including the complex multi-morbidity GI bleed patient.
DCE long-case and short-case station for GI Investigation Endoscopy Capsule Liver Biopsy Elastography.
DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for inflammatory bowel disease with acute severe flare, extraintestinal manifestations and colitis surveillance preparation.
DCE long-case and short-case station for Liver Transplantation.
DCE long-case and short-case clinical station for malabsorption and small bowel disease: comprehensive assessment of a 42-year-old woman with coeliac disease presenting with iron deficiency anaemia, weight loss, and dermatitis herpetiformis (anti-tTG IgA 14 times ULN, Marsh 3c total villous atrophy), covering the three-level pathophysiology, the immunopathogenesis, the gluten-free diet, the complications (osteoporosis, hyposplenism, EATL), and refractory disease classification. Plus a focused abdominal examination demonstrating cachexia, pallor, koilonychia, and dermatitis herpetiformis, and a short-case discussion on the investigation pathway, tropical sprue, and Whipple disease.
DCE long-case and short-case station for Nutrition IN Liver AND GI Disease.
DCE long-case and short-case clinical station for obstructive jaundice: comprehensive assessment of a 68-year-old man with painless progressive obstructive jaundice from a resectable pancreatic head mass, Courvoisier sign, weight loss, and an elevated CA 19-9. Includes the differential diagnosis, the staged imaging strategy (ultrasound, MRCP, triple-phase CT, EUS-FNA), the staging for resectability, the role of preoperative biliary drainage after van der Gaag, the Whipple procedure and adjuvant chemotherapy, and palliative care. Plus a focused abdominal examination demonstrating scleral icterus, scratch marks, a palpable gallbladder, and an epigastric mass, and short-case discussions on Courvoisier sign, the Tokyo Guidelines 2018 for cholangitis, and the ASGE risk stratification for choledocholithiasis.
DCE long-case station: progressive dysphagia with weight loss — the discriminating history, the epigastric and general examination, staging logic and the presentation of a suspected oesophageal malignancy.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for Cushing disease with integrated diagnostic and management planning, and a primary aldosteronism case, plus a face-and-hands short-case examination.
DCE long-case and short-case station for Adrenal Incidentaloma AND Workup.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for primary hyperparathyroidism with osteoporosis and CKD in a 68-year-old woman, including PTH-based differential, parathyroidectomy criteria and shared decision-making, hungry bone syndrome prevention, osteoporosis pharmacotherapy with renal constraints, and a focused DEXA interpretation with osteoporosis management discussion.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for diabetes mellitus examination preparation, covering the classic diabetic long case and the diabetic foot short case.
DCE long-case and short-case station for Disorders OF Sodium AND Water Homeostasis.
DCE long-case clinical station: comprehensive assessment and integrated management of a young man with severe DKA precipitated by insulin omission and pneumonia, structured SASPOP presentation, problem list, acid-base interpretation, JBDS protocol with doses, complication anticipation, and examiner discussion of cerebral oedema, potassium management, and transition.
DCE long-case and short-case station for Hypoglycaemia.
DCE long-case and short-case station for Metabolic Bone Disease AND Vitamin D Disorders.
DCE long-case and short-case station for Multiple Endocrine Neoplasia.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for acromegaly with multisystem complications and hypopituitarism management.
DCE long-case and short-case station for Reproductive Endocrinology.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for Graves disease with atrial fibrillation and orbitopathy, including cause confirmation, antithyroid drug therapy, radioactive iodine and surgery decision-making, Graves orbitopathy management, anticoagulation, and a focused thyroid examination with eye signs.
DCE long-case and short-case station for Thyroid Nodules AND Thyroid Cancer.
DCE long-case and short-case station for Transgender Medicine AND Hormone Therapy.
DCE long-case and short-case station for Adult Congenital Heart Disease.
DCE long-case station: unprovoked pulmonary embolism leading to a new cancer diagnosis — occult malignancy workup, anticoagulant choice and duration, and management of the anticoagulated patient through cancer therapy.
DCE long-case and short-case station for Aortic Disease.
DCE short-case station: the irregular pulse — examination technique, the AF workup discussion, anticoagulation and rate/rhythm reasoning, with presentation template and probing questions.
DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for atrial fibrillation examination preparation.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and investigation planning for cardiac disease — covering the investigation pathway in a patient presenting with stable chest pain and the cardiac MRI interpretation short-case discussion.
DCE long-case and short-case station for Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease.
DCE clinical case for the cardiomyopathies: long case of a young cricketer with hypertrophic cardiomyopathy, a striking family history of sudden death, and a borderline HCM Risk-SCD score that demands a reasoned ICD decision — plus a short case of arrhythmogenic right ventricular cardiomyopathy in a competitive athlete requiring exercise restriction.
DCE short-case station: the cardiovascular risk-factor examination — xanthelasma, corneal arcus, tendon xanthomata, blood pressure technique, adiposity measures and peripheral pulses — with presentation template and probing questions on the findings that change management.
DCE long-case clinical station: comprehensive patient assessment, structured presentation, and integrated management plan for a post-NSTEMI patient with diabetes and multivessel disease.
DCE long-case and short-case clinical station: comprehensive ECG interpretation in a complex cardiac patient, structured presentation, and discussion of ischaemia, conduction disease, and channelopathy patterns.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for heart failure examination preparation.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for hypertension examination preparation, covering resistant hypertension, secondary causes, and cardiovascular examination.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for infective endocarditis examination preparation — including Modified Duke criteria, prosthetic valve IE, surgical decision-making, peripheral stigmata, and murmur interpretation.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for pericardial disease — covering cardiac tamponade recognition and management in the long case and the acute pericarditis short-case discussion.
DCE clinical case for pulmonary hypertension: long case of a woman with limited cutaneous systemic sclerosis and exertional syncope requiring urgent confirmation of scleroderma-associated PAH by right heart catheterisation and aggressive combination therapy — plus a short case of chronic thromboembolic pulmonary hypertension in a man with prior pulmonary embolism, demonstrating the V/Q-versus-CTEPH workup and operability decision.
DCE long-case and short-case station for Rheumatic Fever AND Rheumatic Heart Disease.
DCE long-case and short-case station for Sudden Cardiac Death AND ICD CRT Therapy.
DCE clinical case for syncope: long case of a 62-year-old man with recurrent unexplained syncope and bifascicular block requiring risk stratification, implantable loop recorder monitoring, and pacing based on the ISSUE-3 trial — plus a short case of carotid sinus hypersensitivity in an older man with syncope on head turning, demonstrating the three response types and the evidence for pacing.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for valvular heart disease examination preparation — covering severe AS management decision and cardiovascular examination of murmurs.
DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly man with heparin-induced thrombocytopenia complicating an acute pulmonary embolism, plus a bedside skin examination short case of a patient with a severe cutaneous adverse drug reaction, covering the ABCDEF classification, the 4T score, SCORTEN, Hy's Law and ADR reporting.
DCE long case for Australian snake bite envenomation: a 42-year-old farmer in rural Victoria bitten by a brown snake, presenting with venom-induced consumption coagulopathy (VICC), early thrombotic microangiopathy and cardiovascular compromise. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (pressure immobilisation bandage management, monovalent antivenom selection and dosing, VICC versus DIC distinction, FFP role, TMA and AKI management, avoidance of invasive procedures during coagulopathy), and probing examiner questions.
DCE long-case and short-case station for Beta Blocker AND Calcium Channel Blocker Toxicity.
DCE long-case and short-case station for Cardiac Glycoside.
DCE long-case and short-case station for Iron Toxicity.
DCE long-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly patient with chronic lithium toxicity precipitated by drug interactions, with acute kidney injury and chronic end-organ effects, and a focused neurological examination short case of the lithium-toxic patient.
DCE long-case and short-case station for Opioid Benzodiazepine AND Alcohol Withdrawal.
DCE long case for paracetamol toxicity: a 38-year-old man with chronic alcohol use who presents 14 hours after a 24 g single paracetamol overdose with established hepatotoxicity. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (N-acetylcysteine, King's College Criteria, transplant referral, alcohol withdrawal, psychiatry), and probing examiner questions.
DCE long-case clinical station: comprehensive medication review and dose adjustment in organ failure in a complex elderly patient with CKD, atrial fibrillation, diabetes and polypharmacy — structured problem list, renal and hepatic dosing, therapeutic drug monitoring, and the Beers/STOPP-START framework.
DCE long-case clinical station: comprehensive management of a complex mixed overdose (tricyclic antidepressant, paracetamol and alcohol) — toxidrome identification, the airway and decontamination decision, cardiotoxicity management with sodium bicarbonate, hepatotoxicity prevention with N-acetylcysteine, and a structured presentation with probing-question discussion.
DCE long-case and short-case station for Salicylate Toxicity.
DCE long-case clinical station: comprehensive assessment of a patient recovering from severe neuroleptic malignant syndrome complicated by rhabdomyolysis and acute kidney injury, addressing the underlying psychiatric illness, the medication re-challenge plan, renal recovery, and the prevention of recurrence — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case station for Therapeutic Drug Monitoring.
DCE long-case and short-case station for Toxic Alcohols.
DCE long-case and short-case station for Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity.
DCE long-case and short-case station for Allergic Rhinitis AND Asthma.
DCE long-case and short-case station for Antiphospholipid Syndrome.
DCE long-case and short-case station for Complement Deficiencies AND Recurrent Infections.
DCE long-case and short-case station for Crystal Arthropathies.
DCE long-case and short-case station for Drug Induced Rheumatological Disease AND Biologics Safety.
DCE long-case and short-case station for Eosinophilic Disorders.
DCE long-case clinical station: comprehensive management of a 48-year-old woman with rheumatoid arthritis and secondary fibromyalgia presenting with worsening widespread pain, fatigue and sleep disturbance, a DAS28 elevated by the central sensitisation, and iatrogenic opioid exposure — the central sensitisation mechanism, the 2016 ACR criteria, the discordance between the normal inflammatory markers and the elevated DAS28, the non-pharmacological-first management, the opioid deprescribing, the avoidance of biologic escalation, and the communication of a shared plan, with a short-case station on the widespread pain assessment.
DCE long-case clinical station: comprehensive management of a 62-year-old retired engineer who presents with six weeks of painless obstructive jaundice, three months of progressive painless submandibular gland enlargement and a rising creatinine from multi-organ IgG4-related disease (type 1 autoimmune pancreatitis, IgG4-related sclerosing cholangitis, Mikulicz syndrome, IgG4-related kidney disease and early retroperitoneal fibrosis) — the one-disease-many-organs concept, the clinicopathological diagnosis built on the histopathology triad, the correct use and limits of serum IgG4, the exclusion of pancreatobiliary malignancy and Sjogren syndrome, the 2019 ACR and EULAR classification criteria, the decompress-first principle for ureteric obstruction, and the integrated management plan of glucocorticoids and rituximab, with probing-question discussion and a short-case station on the salivary and lacrimal gland examination for Mikulicz syndrome.
DCE long-case and short-case station for Immunological Investigation Immunoglobulins Complement Flow Cytometry.
DCE long-case and short-case station for Osteoarthritis.
DCE long-case and short-case clinical station for rheumatoid arthritis: comprehensive patient assessment, presentation and discussion for long-standing seropositive rheumatoid arthritis with extra-articular manifestations including interstitial lung disease, rheumatoid nodules, secondary Sjogren syndrome, anaemia of chronic disease, and cervical spine instability, covering treat-to-target management, biologic escalation, pre-biologic screening, comorbidity management, and a focused hand examination routine for the classical rheumatoid hand deformities.
DCE long-case and short-case station for Rheumatological Investigation Autoantibodies Imaging Synovial Fluid.
DCE long-case and short-case station for SJ Gren S Syndrome AND Inflammatory Myopathies.
DCE long-case and short-case clinical station for the spondyloarthropathies: comprehensive patient assessment, presentation and discussion for long-standing ankylosing spondylitis with extra-articular manifestations including acute anterior uveitis, aortic regurgitation, apical pulmonary fibrosis, osteoporosis, and fracture risk, covering the NSAID-physiotherapy-biologic treatment ladder, biologic class selection, pre-biologic screening, comorbidity management, and a focused spine examination routine for reduced spinal mobility.
DCE long-case and short-case clinical station for the systemic autoinflammatory syndromes: comprehensive patient assessment, presentation and discussion for undiagnosed familial Mediterranean fever complicated by AA amyloidosis in a 28-year-old man of Turkish ancestry, including the autoinflammatory-versus-autoimmune framework, colchicine initiation, genetic confirmation, family testing and the cytokine-directed rescue strategy, plus a focused skin examination routine for a chronic urticarial rash and the autoinflammatory syndromes.
DCE long-case and short-case clinical station for systemic lupus erythematosus: comprehensive assessment, presentation and discussion for a complex patient with active class IV lupus nephritis, secondary antiphospholipid syndrome, accelerated cardiovascular risk and pregnancy planning, including mycophenolate versus cyclophosphamide induction (ALMS), Euro-Lupus low-dose cyclophosphamide, voclosporin (AURORA), hydroxychloroquine survival benefit (LUMINA), and a focused hand and face rheumatology examination.
DCE long-case and short-case clinical station for systemic sclerosis: comprehensive patient assessment, presentation and discussion for a 47-year-old man with early diffuse cutaneous systemic sclerosis (anti-RNA polymerase III positive) presenting with scleroderma renal crisis triggered by high-dose prednisolone, including the ACE-inhibitor-first principle, microangiopathic haemolytic anaemia, the dialysis and renal recovery framework, and a focused hand examination routine for sclerodactyly, digital ulcers and Raynaud phenomenon.
DCE long-case and short-case clinical station for the systemic vasculitides: comprehensive patient assessment, presentation and discussion for newly diagnosed granulomatosis with polyangiitis presenting as a pulmonary-renal syndrome in a 56-year-old man, including the vessel-size classification framework, rituximab-based induction therapy, exclusion of mimics, plasma exchange decision-making, maintenance strategy, and a focused skin and neurological examination routine for palpable purpura and mononeuritis multiplex.
DCE long-case/short-case station for antimicrobial stewardship and antimicrobial resistance.
DCE short-case station: 'Examine this patient for signs of infective endocarditis' — a systematic examination routine for peripheral stigmata and the precordium, with presentation template and discussion.
DCE long-case and short-case station for Bone AND Joint Infections.
DCE short-case station: examination of the patient with suspected meningeal irritation and altered cognition — systematic routine, presentation template, and discussion.
DCE long-case clinical station: comprehensive assessment of a 34-year-old man with HIV (CD4 24) who presents with a 3-week history of progressive headache, photophobia, and confusion, diagnosed with cryptococcal meningitis with an opening pressure of 38 cm of water — covering the three-phase antifungal regimen, the single most important principle of raised intracranial pressure management with serial therapeutic lumbar punctures, the timing of antiretroviral therapy and the IRIS risk, the AMBITION and ACTA evidence, and the long-term consolidation, maintenance, and prophylaxis plan — structured for FRACP DCE and MRCP PACES.
DCE long-case clinical station: comprehensive assessment of a 68-year-old man who is day 7 post-emergency laparotomy for perforated sigmoid diverticulum and develops Pseudomonas aeruginosa catheter-related bloodstream infection and concurrent ventilator-associated pneumonia — covering the diagnostic strategy (paired blood cultures and differential time to positivity), the management of both foci, the central line and ventilator prevention bundles, the stewardship review of the preceding broad-spectrum antibiotic exposure, and the long-term prevention and quality improvement plan — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case clinical station for HIV: comprehensive patient assessment, presentation and discussion for a late-presenter with advanced HIV complicated by Pneumocystis pneumonia, oral candidiasis, chronic hepatitis B co-infection, and psychosocial challenges, including ART initiation, opportunistic infection prophylaxis, IRIS risk, U equals U counselling, and a focused examination routine for generalised lymphadenopathy and oral findings.
DCE long-case clinical station: comprehensive assessment of a 45-year-old kidney transplant recipient 4 months post-transplant who presents with CMV colitis and rising creatinine from BK nephropathy — covering the D+/R- mismatch, CMV prophylaxis strategy, the balance of reducing immunosuppression against rejection risk, CMV-induced immunosuppression, the post-transplant infection timeline, and the long-term vaccination and prophylaxis plan — structured for FRACP DCE and MRCP PACES.
DCE long-case clinical station: comprehensive assessment of a sepsis survivor 6 weeks post-ICU discharge, covering post-sepsis syndrome (cognitive impairment, functional decline, psychological sequelae), CKD progression, and recurrent infection risk — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case station for Sexually Transmitted Infections.
DCE long-case clinical station: comprehensive assessment of a returning traveller who survived severe falciparum malaria with cerebral involvement, AKI, and ARDS, now 6 weeks post-discharge — covering post-malaria cognitive sequelae, post-artesunate delayed haemolysis, CKD progression, the post-travel screen, and future travel advice — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation and discussion for tuberculosis examination preparation — covering smear-positive cavitary pulmonary TB with comorbidities, the standard RIPE regimen, rifampicin drug interactions, public health responsibilities, and a focused short case of cervical lymphadenopathy and apical consolidation.
DCE short-case station: respiratory examination of a patient with chronic apical changes after tuberculosis — apical crackles, bronchial breathing and volume loss, with a presentation template, the active-versus-inactive discrimination, and examiner questions.
DCE long-case clinical station: comprehensive immunisation management of a 58-year-old veterinary surgeon with rheumatoid arthritis about to start rituximab, with resolved hepatitis B, a prior splenectomy, an incomplete vaccination history, and planned travel to Vietnam — the pre-immunosuppression window, the hepatitis B reactivation risk, the asplenic vaccination bundle, the live vaccine considerations, the travel advice, and the re-vaccination plan, with probing-question discussion and a short-case station on vaccine adverse events and contraindications.
DCE short-case station: examine this patient's abdomen — the chronic liver disease and portal hypertension examination in a patient with chronic viral hepatitis, a presentation template, and the surveillance-focused discussion that follows.
DCE long-case clinical station: comprehensive management of a 58-year-old abattoir worker who presents with culture-negative prosthetic valve endocarditis (chronic Q fever) — the exposure-history framework, the phase I and II serology, the doxycycline plus hydroxychloroquine regimen and its rationale, the Q-VAX vaccine, and the integrated management plan addressing the occupational and public health dimensions, with probing-question discussion and a short-case station on the systematic examination for fever with an eschar.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for severe eosinophilic asthma with chronic corticosteroid dependence and acute severe exacerbation management.
DCE long-case and short-case station for Bronchiectasis AND Suppurative Lung Disease.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for COPD with cor pulmonale and chronic respiratory failure.
DCE long-case station: granulomatosis with polyangiitis presenting as pulmonary-renal syndrome — the systemic vasculitis examination (purpura, nasal bridge, crackles, urine dipstick), presentation template and probing questions on induction, plasma exchange and maintenance.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for interstitial lung disease examination preparation — covering IPF and systemic sclerosis-associated ILD.
DCE short-case station: respiratory examination in suspected lung cancer — clubbing, supraclavicular node and lobar collapse signs — with presentation template, differentials and probing questions.
DCE long-case and short-case station for Lung Transplantation.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for severe obstructive sleep apnoea in a commercial driver — covering diagnosis, the treatment ladder, CPAP adherence, the SAVE and Marin cardiovascular evidence, cardiometabolic comorbidity management, and the medico-legal duty regarding driving.
DCE long-case and short-case station for Occupational AND Environmental Lung Disease.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for malignant pleural mesothelioma with a large symptomatic effusion, chest wall pain, weight loss, and asbestos exposure — covering diagnosis, pleural control, chemotherapy, pain management, and compensation.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for severe community-acquired pneumonia with septic shock, parapneumonic effusion, and multiple comorbidities.
DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for pulmonary embolism with right ventricular strain, renal impairment, and the unprovoked-versus-provoked duration decision.
DCE long-case and short-case station for Pulmonary Vascular Disease AND COR Pulmonale.
DCE short-case station: respiratory examination of the breathless patient — work of breathing, cyanosis, CO2 retention signs, hyperinflation and cor pulmonale — with presentation template and probing questions.
DCE short-case data station: integrated interpretation of spirometry, flow-volume loop, lung volumes and DLCO in a patient with progressive dyspnoea — the read, the synthesis and the probing discussion.
DCE data-interpretation station: a CT report describing an incidental pulmonary nodule plus a brief history — structured reading, risk stratification, framework selection and the plan, with differentials and probing questions.
DCE long-case and short-case station for Breakthrough Cancer Pain AND Opioid Titration.
DCE long case for breast cancer: a 62-year-old woman who is 7 years post-diagnosis of ER-positive breast cancer, presenting as a breast cancer survivor with new-onset bone pain from metastatic recurrence. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (the metastatic ER-positive bone-only disease strategy, CDK4/6 inhibitor plus endocrine therapy, bone-targeted therapy with zoledronic acid, palliative radiotherapy, cardiotoxicity and osteoporosis from prior aromatase inhibitor therapy, and the psychosocial dimensions of recurrence after years of survivorship), and probing examiner questions.
DCE long-case and short-case station for Cancer Cachexia AND Nutritional Support.
DCE long-case and short-case clinical station for immune checkpoint inhibitor toxicity: comprehensive patient assessment, presentation and discussion for a 64-year-old man on combination ipilimumab-nivolumab for metastatic melanoma who develops multisystem immune-related adverse events (grade 3 colitis, hypophysitis with secondary adrenal insufficiency, grade 2 hepatitis, and a grade 2 maculopapular rash), including the CTCAE grading framework, the steroid-dose ladder, second-line infliximab and mycophenolate, the permanent-discontinuation decision, and a focused general-examination routine with the troponin-for-chest-pain rule.
DCE long-case clinical station for oncologic emergencies: comprehensive patient assessment, presentation and discussion for a 59-year-old woman with multiple myeloma presenting with hypercalcaemia, acute kidney injury and incipient malignant spinal cord compression, illustrating the integrated management of multiple simultaneous oncologic emergencies, the myeloma-specific cytoreduction, the bisphosphonate and denosumab decision, and a focused skeletal and neurological examination routine.
DCE long-case and short-case station for Pain Management IN Cancer AND Chronic Disease.
DCE long-case and short-case clinical station on palliative care: comprehensive assessment, presentation and discussion for a complex patient with metastatic lung cancer and multiple uncontrolled symptoms, goals-of-care decisions, and a symptom-assessment short case.
DCE long-case and short-case station for Prostate Cancer.
DCE long-case and short-case clinical station: comprehensive assessment, presentation, and discussion for a complex frail older woman with functional decline, falls, polypharmacy, malnutrition, cognitive impairment, and social isolation, and a functional assessment short case with Timed Up and Go, grip strength, and Clinical Frailty Scale scoring.
DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly patient with postoperative delirium superimposed on dementia, and a cognitive assessment short case.
DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly patient with mixed Alzheimer and vascular dementia, polypharmacy, BPSD, and carer strain, and a cognitive assessment short case.
DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with moderate Alzheimer disease admitted with dehydration, malnutrition and a pressure injury whose daughter (enduring power of attorney) is displaying controlling behaviour and is suspected of financial and psychological abuse — covering the recognition of abuse types, the immediate safety plan, the capacity assessment, the safeguarding referral and tribunal pathway (NCAT, VCAT), mandatory reporting, legal interventions (AVO, independent guardianship and financial management), support services, and the ethical balance of autonomy versus protection — structured for FRACP DCE and MRCP PACES.
DCE long-case clinical station: comprehensive assessment of an 82-year-old man with end-stage heart failure and chronic kidney disease admitted with a decompensation, who triggers the Surprise Question and requires an advance care planning conversation, a documented goals-of-care plan, a ceiling of treatment, and a prognosis discussion — covering the evidence for advance care planning (Detering, Wright, Brinkman-Stoppelenburg), the SPIKES protocol, the Serious Illness Conversation Guide, the substituted judgement standard, the ethical equivalence of withholding and withdrawing treatment, and the principles of prognosis discussion — structured for FRACP DCE and MRCP PACES.
DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex older patient with multifactorial falls, drug-induced orthostatic hypotension, diabetic neuropathy and polypharmacy, plus a gait and Timed Up and Go short case.
DCE long-case and short-case station for Nutrition AND Hydration IN Older Adults.
DCE long-case and short-case station for Orthogeriatrics AND Perioperative Medicine IN Older Adults.
DCE long-case and short-case station for Parkinson S Disease IN Older Adults.
DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly woman with polypharmacy, frailty and falls, and a bedside medication review short case.
DCE long-case and short-case station for Pressure Injuries AND Wound Care.
DCE long-case and short-case station for Urinary Incontinence IN Older Adults.
DCE long-case and short-case clinical station for cutaneous manifestations of systemic disease: comprehensive assessment, presentation and discussion for a patient with adult-onset dermatomyositis as a paraneoplastic marker of ovarian cancer, and a dialysis patient with calciphylaxis, including the structured malignancy search, calciphylaxis management with sodium thiosulfate and debridement, and a focused skin examination.
DCE long-case and short-case station for Drug Eruptions AND Severe Cutaneous Adverse Reactions.
DCE long-case and short-case station for Erythema Nodosum AND Panniculitis.
DCE long-case and short-case station for Genodermatoses with Systemic Significance.
DCE long-case and short-case station for Malignant Skin Lesions.
DCE long-case and short-case station for Pyoderma Gangrenosum AND Neutrophilic Dermatoses.
DCE long-case and short-case station for Skin Signs OF Internal Malignancy.
DCE long-case and short-case station for Vasculitic Skin Lesions.
DCE long-case and short-case clinical station: a patient with long-standing drug-resistant focal epilepsy and comorbidities for comprehensive assessment, surgical evaluation, and integrated management planning.
DCE long-case and short-case clinical station: comprehensive assessment of a patient three months after severe Guillain-Barre syndrome with residual disability and tracheostomy weaning, structured presentation, integrated rehabilitation plan, and a focused neurological examination of areflexic weakness.
DCE long-case clinical station: comprehensive patient assessment, structured presentation, and discussion for a complex headache case involving giant cell arteritis, polymyalgia rheumatica, and the interplay with comorbidity and medication management.
DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for HSV encephalitis and bacterial meningitis with complications, covering empiric therapy, CSF interpretation, and neurological examination.
DCE long-case and short-case clinical station: a patient with bulbar-onset amyotrophic lateral sclerosis complicated by respiratory muscle weakness, nutritional decline and pseudobulbar affect, for comprehensive assessment and integrated management planning; plus a focused combined UMN-and-LMN-sign short case.
DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for advanced Parkinson's disease with motor complications and a parkinsonian short-case examination.
DCE long-case and short-case clinical station for multiple sclerosis: comprehensive assessment of a 29-year-old woman with highly active relapsing-remitting MS failing interferon beta-1a, with residual neurological deficit, JC virus positivity, and pregnancy plans. Covers the McDonald 2017 criteria, DMT escalation (ocrelizumab versus natalizumab versus alemtuzumab), PML risk stratification, acute relapse management, symptom management, and reproductive planning. Plus a focused neurological examination demonstrating internuclear ophthalmoplegia and a short-case discussion on DMT selection, monitoring, and the Uhthoff phenomenon.
DCE long-case and short-case clinical station: a patient with acetylcholine-receptor-antibody-positive generalized myasthenia gravis, a thymoma, steroid-induced osteoporosis and a recent crisis, for comprehensive assessment and integrated management planning; plus a focused fatigable-weakness short case.
DCE long-case and short-case station for Neurocutaneous Syndromes.
DCE long-case and short-case station for Neurological Investigation LP EMG NCS EEG Neuroimaging.
DCE long-case and short-case clinical station for peripheral neuropathy: comprehensive assessment of a 62-year-old man with diabetic distal symmetric polyneuropathy, a painless foot ulcer, and a superimposed subacute vasculitic mononeuritis multiplex with an IgM paraprotein. Covers the four classification axes, the NCS axonal-versus-demyelinating discriminator, the investigation pathway including sural nerve biopsy, immunosuppression, neuropathic pain, and foot care. Plus a focused lower limb neurological examination demonstrating stocking sensory loss, absent ankle reflexes, and a positive Romberg.
DCE long-case and short-case station for Raised Intracranial Pressure AND Brain Tumours.
DCE long-case and short-case clinical station: comprehensive assessment of a patient recovering from malignant spinal cord compression with residual paraparesis, structured presentation, integrated rehabilitation plan, and a focused neurological examination of a sensory level.
DCE long-case and short-case clinical station: comprehensive post-stroke patient assessment, structured presentation, integrated management plan, and neurological examination for stroke sequelae.
DCE long-case and short-case station for Subarachnoid Haemorrhage AND Intracranial Haemorrhage.
DCE long-case/short-case station for high-risk TIA: urgent pathway, dual antiplatelet therapy, carotid imaging and secondary prevention counselling.
DCE long-case and short-case station for Vestibular Disorders.