Drug-Induced QT Prolongation

Drug-Induced QT Prolongation

A patient is discovered to have new onset QT prolongation when an ECG is performed as part of a cardiovascular assessment. He tells you that he was recently prescribed a new medication by his GP and wonders if that may be the cause. 1. What is a prolonged QT interval?...
A Student with a Sore Throat

A Student with a Sore Throat

A 19-year-old student presents with a one-week history of a sore throat, low-grade fever, and malaise. She states that a week ago she had a fine rash over her body that faded quickly. On examination you note the presence of mild splenomegaly. 1. What is the most...
A 30-Year-Old Man with a Strange Rash

A 30-Year-Old Man with a Strange Rash

A 30-year-old man presents with a rash on his hands that has been spreading proximally over the past couple of days and is now involving his trunk. He has recently suffered an infection. The rash is shown below: 1. What is the most likely diagnosis? Show Answer This...
A 32-Year-Old Man with Recurrent Haematuria

A 32-Year-Old Man with Recurrent Haematuria

A 32-year-old man presents with recurrent episodes of haematuria and flank pain. On examination he has bilateral masses in his flanks and 3+ blood in his urine dipstick. He has a history of recurrent urinary tract infections and difficult to control hypertension. 1....
A 67-Year-Old Woman with Agitation and Confusion

A 67-Year-Old Woman with Agitation and Confusion

A 67-year-old lady presents to the Emergency Department anxious, confused and agitated. She has also vomited several times. She has recently been started on a course of amoxicillin for a presumed chest infection by her GP. You are unable to take a coherent history...
A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-year-old woman presents to the Emergency Department acutely unwell with abdominal and lower limb pain. She had a syncopal episode in the department and was moved into the resuscitation area. She had been taking prednisolone for polymalgia rheumatica until...