Month March 2019
ICE -Ian’s clinical emergencies 340

ICE 016 Delayed presentation chest pain

The previous evening, a 59 year old man experienced an hour long episode of chest pain which resolved spontaneously. He has had no further chest pain, but encouraged by his family he presents to ED the next morning. A bedside cardiac troponin test is negative. This is his ECG taken at the same time.

TOP-100-ECG-QUIZ-340

ECG Case 088

44 year old male with a history of non-complaint Type 1 diabetes. He has been found at home in a semi-conscious state. Describe and interpret this ECG. LITFL Top 100 ECG

ICE -Ian’s clinical emergencies 340

ICE 015: Progressive rash and fever

A 22 year old woman with a past history of a seizure disorder presents to the ED with a 3 day history of progressive rash and fever. The rash began as macules and papules on the chest and neck and has now become blistered and eroded and involves the mouth and eyes. Her temperature is 39°C and she feels miserable

TOP-100-ECG-QUIZ-340

ECG Case 087

36yr old male presented to the Emergency Department with a non-cardiac issue but an ECG was performed due to a pre-existing cardiac history. Describe and interpret this ECG. LITFL Top 100 ECG

Macintosh laryngoscope 680

Macintosh laryngoscope

The Macintosh laryngoscope has a curved blade which allows exposure of the larynx by positioning the tip in the vallecula, anterior to the epiglottis, lifting it out of view. Designed 1943 by Sir Robert Reynolds Macintosh (1897–1989) New Zealand Anaesthetist.

Janeway lesions 340

Janeway lesions

Janeway lesions are non-tender, small erythematous or haemorrhagic macular or nodular lesions on the palms or soles only a few millimeters in diameter that are indicative of infective endocarditis.

eponym LITFL 340

Edward Janeway

Edward Gamaliel Janeway (1841 - 1911) was an American physician and pathologist. Remembered for his description of Janeway lesions (1899) as a distinctive painless dermatological manifestation seen in some cases of infective endocarditis

ICE -Ian’s clinical emergencies 340

ICE 014: Pleuritic Pain

A 24 year old woman presents to ED with a 12 hour history of shortness of breath and left sided pleuritic chest pain. She has no significant past medical history and is on no regular medications. Her vital signs are normal.