A woman is found unresponsive in a takeaway at midnight. She is hypotensive, drowsy and has low oxygen saturations. She is unable to give a history and there is nobody with her. Can you help her?…
Sweet and Salty
Hyperglycaemic hyperosmolar state is a medical emergency and is different from DKA and as such its treatment requires a different approach.…
A Droopy Eye
A man in his thirties presents to the ED after being instructed to do so by an optician, suspecting a stroke.…
Will you look at this ECG for me?
You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical but which one?…
PUMP it up
A 35-year-old male presents with central non radiating chest pain with ECG changes and a blood pressure of 241/179mmHg.…
When the Well Runs Dry
An 80-year-old woman arrives after an unwitnessed fall, uninjured but profoundly unwell – dizzy, fatigued, and oliguric. Could this be the tip of a multifactorial medical iceberg?…
More than just a DVT
A 38-year-old man reattends obtunded and narcosed after being treated for a DVT the day before.…
Penetrating Thoracic Trauma
A 21-year old male has been stabbed outside of a night-club.…
An Unusual Cause of Haematemesis
A 24-year-old presents with haematemesis on a background of alcohol excess.…
Skateboarder’s Spleen
An 18-year-old man presents with left upper quadrant and left lower chest wall pain following a fall from a skateboard at a height of approximately 4ft.…
The Mysterious Gut Opacity!
Young adult female patient presenting to the ED with abdominal pain, constipation and confusing findings in erect abdominal x-ray.…
‘Toxic Trouble: Cigarette Butts’ Peril to Kids
A 2-year-old boy is brought to the ED by his parents after accidentally drinking water from a glass where they had disposed of cigarette butts overnight.…
An Unusual Facial Swelling
An 11-year-old female re-presenting with an unusual facial swelling.…
Think: Screen the Spleen
A 75-year-old female with no significant past medical history presents to the ED with sudden onset of sharp left upper quadrant pain.…
Not Just Iron Man: A Mysterious Case of the Blues
A 45-year-old male, with unresolved cyanosis despite oxygen, presents with pleuritic chest pain and recent PE history. Arterial blood gas was performed to assess underlying hypoxemia.…
Jaundice in a Newborn
A neonate presents to the emergency department with significant jaundice.…
Painful Joint Swelling
A 56-year-old gentleman cant bend his knee after 3 days of increasing pain and swelling.…
Hard to diagnose something you haven’t seen before
A 70-year-old female presents to the ED with non-traumatic calf pain and swelling over the last 24 hours. She is completely unable to weight-bear.…
An Inverted Eversion Injury
An elderly lady, who has fallen on grass bank, presents with an obvious deformity of the right foot and pain in dorsal area foot.…
Break the BRASH
A 59-year-old man pre-alerted to the PCI team with symptomatic CHB and received Atropine prehospitally. The patient is directed to the ED and is stable on assessment with significant bradyarrhythmia.…