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?
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
Smoking is deadly
A 37 year-old man is BIBA to the emergency department following a fire at his apartment. He has a fluctuating level of consciousness (currently GCS 11) and is hypotensive (BP 85/50). He has no evidence of airway compromise, burns or other significant injury.
Paralysis and a head lump
A 5 year old girl is unable to walk and is becoming progressively weaker. She also complained of a lump on her head. Can you make the diagnosis?
Life in the TOO fast lane?
There has been an avalanche of new recreational drugs hitting the streets recently. Apart from a few anecdotal reports, most of the information available to clinicians comes from those involved in drug culture. Given these limitations, treatment of toxicity from these new recreational drugs should be guided by the clinical manifestations and the known pharmacology of these agents. They're coming to an ED near you soon - are you ready?
Stiff and Twisted
Acute dystonic reactions are a distressing extrapyramidal side effect of antipsychotic and certain other medications.
The Antidote Challenge
Take the antidote challenge - see if you're ready to join the ranks of the toxicology mavens by naming the antidote for each of these poisons.
Corrosive ingestion
A child has scooped up crystals from a sink and put them in his mouth, resulting in immediate distress. How will you manage this corrosive injury?
The toddler with the Iron gut
A 3 year-old boy ingested 50 mg/kg elemental iron 2 hours ago. You are called for advice about the management of iron poisoning from a remote hospital.
Chloroquine poisoning
Two chloroquine tablets have gone missing and the 2 year-old suspect is 'keeping mum' about it. Now what do you do? What if life-threatening toxicity occurs?
Ethylene glycol inebriation
A 5 year-old boy is 'off his face' after drinking what looked like a nice bottle of cordial. It was actually radiator coolant. You are called for advice.
Toxidrome Challenge
Toxidrome challenge lets you test yourself on anticholinergic toxicity, malignant hyperthermia, neuroleptic malignant syndrome, and serotonin syndrome.
Snakebite Envenoming Challenge
How this works: For each of the six types of venomous Australian snake see if you can describe the classic findings for each of the possibly clinical effects listed below – click on the link to show/hide the answer.