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.
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
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.
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!
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.
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.
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