Strychnine poisoning
Toxicological conundrum on the pharmacological effects of Strychnine toxicity
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
Stung Inside A Stinger Net
It's Christmas, and you're called by a doctor who has recently arrived in Australia from the UK. He is in North Queensland looking after a 23 year-old female swimmer who doesn't look at all well...
Medically cleared?
A young woman is 'talking to voices' and is admitted to the psychiatric unit. Does she have a mental illness, or is something else going on?
Bullet in the Head
A gun shot wound to the head provides the basis for a question-and-answer based discussion on penetrating traumatic brain injury and multi-modal monitoring.
Look left, look right
An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?
Eye movements, coma and pseudocoma
A man is about to intubated for coma. What can be learned from a rapid neurological exam that includes assessment of eye movements? Could this be a pseudocoma?
Pseudobulbar and bulbar palsies
You have an emotionally labile patient in the department who sounds like 'Donald duck'. Before rounding up some students to 'pimp' you decide to test yourself on bulbar and pseudobulbar palsies so that you don't get caught out...
Coma in a spinal patient
The spinal patient from Microbial Mystery 005 has returned from the operating theatre. Within 15 minutes she is unconscious. What's going on?
Brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
More brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
Coma and small pupils
You are asked to review a 65 year-old man who is comatose (GCS 3) with small pupils (2 mm bilaterally). He has a history of diabetes mellitus and bipolar disorder. He was discharged from hospital yesterday, following a surgical procedure.
HIV brain mass
Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.