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Category Interesting

an abominable airway…

the case. a 28 year old male presents to your Emergency Department with a 2-3 week history of increasing neck swelling. He is now spitting out frank purulent discharge from his mouth and reports fevers and night sweats.

shrouded shock…

the case. 46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.

another bubble of trouble…

the case. 43 year old female is brought into your resuscitation bay by the paramedics.  She has a 2 day history of vomiting and diarrhoea on the background of type 2 diabetes and alcohol abuse.  Her son is concerned that…

collective crises…

the case. a 28 year old female is brought into your resuscitation bay by paramedic crews following a two day history of nausea and vomiting. As she rolls past, you notice that she is distressed with pain, looks clinically very…

a perplexing paradox…

The case. a 70 year old female is bought to your ED at 10pm via ambulance with a dense right-sided hemiparesis following a witnessed collapse at home only 30 minutes earlier.

twist and shout….

the case. 34 year old female presents to ED with a 2 day history of worsening left-sided pleuritic chest pain associated with shortness of breath. There has been no associated cough, fever or sputum production. She is one week post-Caesarian…

Mind the gap #2…

the case. a 43 year old male presents to your ED with a three day history of severe epigastric pain and recurrent vomiting. He has now become increasingly breathless and is complaining of severe retrosternal chest pain.

a splitting headache…

the case. 39 year old female presents to your Emergency Department with a four day history of a gradually worsening headache. Whilst she has a past history of migraines, this headache is much more severe and of different character to any migraine…

a covert combination…

the case. 72 year old male presents to your Emergency Department with a 4-5 hour history of palpitations. He appears well and has no associated symptoms.

don’t jump the gun…

the case. an elderly male is bought to ED following a high-speed motor vehicle accident having driven his car into a tree at ~100 km He is complaining of severe chest pain & trouble breathing.

part man, part machine…

the case. 48 year old male is bought to the Emergency Department via ambulance following a syncopal episode. They are unable to obtain a blood pressure & describe ‘some sort of device coming out of his chest’ !!