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...
A Young Asthmatic with Headache and Abdominal Pain

A Young Asthmatic with Headache and Abdominal Pain

A 28-year-old man with a known history of asthma presents with headache, nausea and abdominal pain. His heart rate is elevated at 117 bpm. He currently takes a salbutamol inhaler and a theophylline for his asthma. He had attended the Emergency Department a few days...
A Blood Transfusion Reaction in a 42-Year-Old Woman

A Blood Transfusion Reaction in a 42-Year-Old Woman

A 42-year-old woman receives a blood transfusion for anaemia secondary to heavy vaginal bleeding. 4 hours after commencement of the transfusion she complains of feeling breathless and has developed a dry cough. Her temperature is measured at 38.1ºC. A chest X-ray is...
Unexplained Debilitating Nausea and Vomiting

Unexplained Debilitating Nausea and Vomiting

A 30-year-old woman presents with debilitating nausea and vomiting. The vomiting occurs in a cyclical pattern, with the patient experiencing episodes every few months. She is also complaining of colicky abdominal pain but her bowel movements are normal. She states...