An 18-Month-Old with Stridor

An 18-Month-Old with Stridor

A mother brings in her 18-month-old to the Emergency Department with breathing difficulties. The boy was seen earlier that week with a possible mild allergic reaction following eating a cake, but at that time his symptoms settled rapidly following administration of...
A 61-Year-Old Man with Widespread Hyperpigmentation

A 61-Year-Old Man with Widespread Hyperpigmentation

A 61-year-old man presents with generalised weakness and skin hyperpigmentation. His only past medical history of note is a bilateral adrenalectomy for Cushing’s syndrome 18 years earlier. On examination of his visual fields you discover a bitemporal hemianopia. 1....
A Young Footballer Presents with Palpitations

A Young Footballer Presents with Palpitations

A 22-year-old athlete presents with a history of palpitations that have been occurring whilst he is playing football. They have become bothersome of late and his coach has advised him to have a medical check up. On questioning him you find out that his father died at...
A 45-Year-Old Woman With Unexplained Hearing Loss

A 45-Year-Old Woman With Unexplained Hearing Loss

A 45-year-old woman presents complaining of difficulty hearing out of her right ear. She reports that her hearing loss is worsening, and in the last couple of weeks she has also had a fairly constant headache and feels dizzy. When you examine her right ear, you note...
A 50-Year-Old Man With a Swollen Neck

A 50-Year-Old Man With a Swollen Neck

A 50-year-old man from India presents with neck pain, fevers and a large right-sided submandibular swelling. On examination the swelling is non-fluctuant and is situated below the angle of the jaw. The floor of his mouth appears oedematous. His temperature is 39.5...
A 67-Year-Old Woman With an Unusual Rash

A 67-Year-Old Woman With an Unusual Rash

A 67-year-old woman comes to see you at the local walk-in centre with a rash on her left forearm. She has a past medical history of hypertension, which is usually well controlled on amlodipine 5 mg od. She feels well in herself today, but her arm feels a little sore....