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...
A 2-Year-Old Child with Breathing Difficulties

A 2-Year-Old Child with Breathing Difficulties

A 2-year-old boy is brought in to the Emergency Department with stridor and a barking cough. His mum states that he has had a mild cold for a few days and his voice had been hoarse. His observations are as follows: Temperature 38.1°C, HR 135, RR 30, SaO2 97% on air....
Severe Chest Pain Following Blunt Thoracic Trauma

Severe Chest Pain Following Blunt Thoracic Trauma

A 37-year-old man is involved in a high-speed motor vehicle collision. He was not wearing a seat belt and struck his chest on the steering wheel. He has presented complaining of severe central chest pain and breathlessness. You are the trauma call team leader. His...
An Unusually Severe Ear Infection

An Unusually Severe Ear Infection

A 76-year old woman presents has severe otalgia in her left ear that has been gradually worsening over the past few weeks. She describes the pain as being ‘unrelenting’ and she has been unable to sleep for several nights. Her family have noticed that the left side of...