A 76-year-old presents with abdominal pain. He is clinically shocked (hypotensive and tachycardic) with a known abdominal aortic aneurysm.…
A pox on it!
A 4-year-old child attends the ED with some spots on her arm which look inflamed and have become more numerous over the last week.…
Seat Belt Syndrome
Abdominal wall bruising in a 9-year-old girl following a car vs car road traffic accident.…
Polka Dots on a Tiny Tot
A 15-month-old presents to your ED with a rash and swelling on both legs and feet. The patient has a mild fever but is otherwise well.…
Another angry drunk
Its Friday night, a 19-year-old male who alleges hes been assaulted is shouting / being aggressive in the waiting area. The triage nurse asks you to discharge him.…
It’s all in her head
A 10-year-old girl presents with lethargy, vomiting, headaches and an unsteady gait. She collapsed at home a few hours prior to arrival at your ED.…
A Kick in the Chest
A 47-year-old man presents to the ED after being thrown off his horse.…
Traumatic Hip Dislocation in a Young Woman – a complication
An 18-year-old female is brought into the ED following a head-on collision with another car with a combined speed of approximately 100mph.…
Not Very Common in the UK
A 27-year-old man is brought to the ED by ambulance after having two seizures. He has no known health problems.…
Atraumatic Thigh Pain
A 60-year-old female patient presents to the ED with gradual-onset right-sided thigh and hip pain.…
Bloody Cough
A 22-year-old South Asian male presents with 2 episodes of haemoptysis on a background of anorexia, weight loss and a dry cough for 2 months.…
Gastric Volvulus in an Elderly Patient
A frail elderly female is brought to the emergency department following two episodes of coffee-ground vomit.…
Blinding Headache
A 35-year-old presents with right sided headache, photophobia and vomiting progressing to left homonymous hemianopia and left sided numbness.…
Coprophagy in Humans
A 45-year-old man develops methemoglobinemia after an incidence of eating his own faeces.…
Acute Headache and Visual Disturbance
A 45-year-old woman presents with 24 hour history of right sided frontal headache with progressive worsening of vision.…
Oh dear – you are quite blue
Your pre-alert phone rings to warn you that a 30-year-old male will be arriving in five minutes, having been found collapsed with blue lips and recordable oxygen saturations.…
Pelvic Injury Following a Fall
A 53-year-old lady with MS presents with left hip and pelvic pain after a fall.…
Wee Considerations
An elderly man comes in acutely unwell. He’s pyrexial, tachycardic, and isnt passing urine.…
What’s wrong with my baby?
A 3-day-old baby girl is brought to the emergency department by her distressed mother with complaints about the baby’s shivering and lethargy.…
Curtain Call
A 70-year-old female presents with flashes, floaters, and a loss of vision in her right eye.…