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...
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...
A 56-Year-Old Smoker with Haematuria

A 56-Year-Old Smoker with Haematuria

A 56-year-old male smoker comes in to see you with his wife. He is worried as he has noticed bright red blood when he passes urine. He used to work in a rubber factory. His wife also thinks that he has been more tired than usual over the last couple of months. He has...
A 32-Year-Old Woman with Leg Weakness

A 32-Year-Old Woman with Leg Weakness

A 32-year-old woman has noticed increasing weakness and numbness in her legs over the past few days, and she is feeling short of breath when she walks. Three weeks ago, she had diarrhoea whilst on holiday, and stool culture confirmed infection with Campylobacter...
A 55-Year-Old Woman with Tiredness and Depression

A 55-Year-Old Woman with Tiredness and Depression

You review a 55-year-old woman with a 6-month history of feeling tired and depressed. She has been constipated for the past 3-months, for which she is taking 15 ml of lactulose twice daily. She is otherwise fit and well and has no past medical history of note. You...