Toxic Seizures
A 22 year old female is BIBA in status epilepticus. She is believed to have overdosed on her discharge medications following a month long stay as an inpatient on the psychiatric ward.
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
Sniff a poison challenge
As you are reviewing a poisoned patient you notice an unusual scent on their breath... Welcome to the 'Sniff a Poison' Challenge!
Verapamil overdose
Verapamil overdose is potentially lethal. Test yourself on how to manage this clinical scenario, including the use of high-dose insulin euglycemic therapy.
Two pills can kill
A small child has swallowed two unknown tablets. How would you manage this problem in the emergency department?
Warfarin deliberate self poisoning
A 30 year-old female is brought into the ED by her husband. The couple had a heated argument which ended with the patient swallowing ~2mg/kg warfarin.
Citalopram overdose
26 year-old female who claims to have ingested 40 x citalopram hydrobromide tablets (40mg each) about 3 hours ago - what do you do next?
Necrotic arachnidism?
A 40 year-old man presents to the 'fast-track' area of your emergency department. He has a ulcerating sore on his right arm. He says its been getting worse over the past 2 weeks.
Chloral hydrate overdose
A 25 year-old woman with a history of depression was found by her flatmate. An empty 200mL bottle of chloral hydrate was present at the scene. She arrived at your emergency department with the following vital signs...
Thyroxine overdose
A 34 year-old female with a past medical history of Hashimoto's thyroiditis (currently taking thyroxine 200 mcg daily) who took an overdose of 60 x 200 mcg thyroxine 6 hours ago
Tricyclic antidepressant toxicity
A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 70 x 50mg amitriptyline. He is tachycardic (HR 120) with an otherwise 'normal' ECG (QRS 95 ms) but is becoming drowsy. You are called to the resuscitation room to assess him.
Supratherapeutic INR
A 70 year-old man has presented to your emergency department to get his INR checked. It is markedly elevated - how should you manage this?
Irukandji Syndrome Territory-style
You are working as a locum doctor in the Northern Territory. Your patient is a 32 year-old Indonesian man who says he was stung while hauling in a net on an offshore fishing vessel.