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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

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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.
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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?
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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
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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…

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Mistaken Identity

A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.
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Therapeutic Showering

A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.
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A Remorseless Poison

A 20 year-old female had a polypharmacy overdose 36 hours ago. She has had symptoms of GI upset (nausea and vomiting), some anxiety and mild confusion. Her life is in your hands...
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A Toxic Slumber

A 3 year-old boy is BIBA with a reduced level of consciousness. He is protecting is airway, has a respiratory rate of 15/min, a pulse rate of 70/min and blood pressure of 85/35 mmHg. He is responsive to painful stimuli and has pupils 2mm in diameter. Can you keep out of harm's way?
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Seafood poisoning

A couple present to the ED with vomiting and paraesthesiae after eating at a seafood restaurant. Can you help them by solving the seafood poisoning conundrum?
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Hypoglycemia, but how?

A man presents with hypoglycemia, but has no history of any other illness nor a history of ingesting a hypoglycemic agent. Can you unravel the puzzle?