A 40-Year-Old Man with a Dry Cough and a Fever

A 40-Year-Old Man with a Dry Cough and a Fever

A 40-year-old man presents with a dry cough and a fever for the past few days. His cough is non-productive. Today he has also had several episodes of diarrhoea and has developed bilateral pleuritic chest pain. He states that he is short of breath, most notably on...
Chickenpox Exposure in Pregnancy

Chickenpox Exposure in Pregnancy

You review a 31-year-old patient who is 14 weeks pregnant. She is worried as she was exposed to chickenpox two days ago. She cannot remember whether she has had chickenpox as a child. 1. If the mother were to contract chickenpox, what would the principal risk to the...
Needle Cricothyroidotomy

Needle Cricothyroidotomy

A 24-year-old man has been involved in a road traffic accident and suffered facial and thoracic injuries. The anaesthetist has been unable to intubate the patient and is going to attempt a needle cricothyroidotomy. 1. What are the anatomical landmarks for this...
Stroke Management

Stroke Management

A 73-year-old woman presents with new-onset left-sided hemiplegia. A CT head scan is undertaken, which confirms the diagnosis of an ischaemic stroke. She is currently in resus, and the nurse in charge informs you that her BP is very high, with the most recent...
A 50-Year-Old man with a Painful, Swollen Leg

A 50-Year-Old man with a Painful, Swollen Leg

A 50-year-old man presents with a painful, red, swollen lower left leg that started a few days after he suffered a small abrasion to his ankle working in his garage. The area is warm to the touch, and he currently has a temperature of 38.2°C. He has no other past...
Seizures in Pregnancy

Seizures in Pregnancy

A 24-year-old woman who is 37-weeks pregnant is brought to the Emergency Department because she is experiencing severe headaches, visual disturbance and abdominal pain. Shortly after arriving, she collapsed and has a seizure. Her husband states she has been treated...