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...
Managing Paracetamol Overdose
A 25-year-old woman with a long history of depression has taken an overdose of paracetamol. She took the overdose 10 hours ago and cannot recall how many tablets she has taken. She is complaining of abdominal pain and nausea. 1. What is the mechanism of liver damage...
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....
Chest Pain and Syncope in a 72-Year-Old Man
A 72-year-old man presents with chest pain and intermittent syncope. He tells you that he has been suffering with episodes of dizziness and fatigue over the past few weeks. On review today his heart rate is 37 bpm and his rhythm strip is shown below: 1. What does the...
