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Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
COPD Case 1 Lung Pulse
This patient has severe COPD and presents in extreme distress. An initial ultrasound is performed. What does this clip show?
Another TCA overdose!
A classic overdose for you to ponder in classic Q&A style, which incidentally marks the 50th toxicology conundrum on LITFL!
Alprazoslammed
An ingestion of 100mg of alprazolam... Boring benzodiazepine or badness brewing? Find out in this case-based series of questions-and-answers.
Lithium, Vomiting And Diarrhoea
Your next patient has swallowed over 80 grams of lithium. What are you going to do about it?
Brain Dead?
A baffling case of apparent brain death... Can you work out what has happened? A 35-year old female with a history of multiple sclerosis and depression is found collapsed at home. She is known to have access to quetiapine.
A Fumbling, Mumbling Mess!
A 41-year old man is brought to ED after becoming drowsy while in police custody. He states that he has taken an overdose of diazepam tablets prior to being arrested. A puzzling case of drug-induced delirium. Can you solve the mystery?
Paracetamol-Induced Hepatotoxicity
A case of paracetamol-induced hepatotoxicity with a discussion of the Schiodt scoring system for predicting paracetamol-induced liver failure.
No Radial Pulse
Your patient's finger tips have turned blue, and the paramedics are unable palpate a radial pulse.... "Is he in cardiogenic shock?" could this be Raynaud's phenomenon
Propanolol Overdose
aka Toxicology Conundrum 044 A 27-year old female weighing 60kg presents to ED approximately one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with…
Mistaken Identity
A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.
Therapeutic Showering
A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.