A 70-Year-Old Man with Severe Leg Pain

A 70-Year-Old Man with Severe Leg Pain

A 70-year-old man presents to the ED having developed sudden onset severe pain in his right leg. This occurred whilst he was watching television 1 hour earlier. On examination he is distressed, and his right leg is pale in appearance. His right foot feels cold to...
A Very Concerned Mother

A Very Concerned Mother

A mother brings her 2-year-old son to the Emergency Department. They have previously presented 10 times over the past six months and on each occasion have been discharged. He has previously been investigated for multiple episodes of rectal bleeding, and no cause...
A 70-Year-Old Man with Acute Shortness of Breath

A 70-Year-Old Man with Acute Shortness of Breath

A 70-year-old man with a history of stable angina and hypertension develops sudden onset breathlessness at night. He is unable to lie flat and appears, sweaty and anxious. He is brought into the resus area and the sister in charge has sat him upright and commenced...
An 80-Year-Old Woman with an Itchy, Blistering Rash

An 80-Year-Old Woman with an Itchy, Blistering Rash

An 80-year old woman presents with an itchy, blistering rash affecting her arms and trunk. She is systemically well, and her observations are normal. The rash is mainly localised to her right arm and is shown below:   1. What is the most likely diagnosis? Show...
A 50-Year-Old Woman with an Itchy, Blistering Rash

A 50-Year-Old Woman with an Itchy, Blistering Rash

A 50-year-old woman presents with a painful, blistering rash affecting her face, limbs and trunk. She initially noticed painful blisters in her mouth, but these subsequently spread to the skin a few weeks later. The blisters, where present are large and flaccid. Most...
A 22-Year-Old Man with a Nasal Injury

A 22-Year-Old Man with a Nasal Injury

A 22-year-old man has been struck on the bridge of the nose during an altercation outside a nightclub last night. He had a brief episode of epistaxis at the time, which stopped after pressure was applied to the nose. He is complaining of a painful, deformed nose and...