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
Doctor X has just assessed a 44 year-old male who thinks he was bitten or stung by something under his house three days ago. The initial discomfort was mild and localized to his right forearm. However the pain traveled up his arm over the next few hours.
aka Toxicology Conundrum 005 A 20 year-old male was walking in rural New South Wales (Australia!) when he noticed a brown-coloured snake. He was startled and stepped backwards onto a tree branch which snapped under his weight. He then saw…
The phone rings as you sit down for lunch. You are asked for advice concerning a drowsy 2 year-old boy who was brought in to a Children's Emergency Department by his worried parents.
Toxicological conundrum on the pharmacological effects of Strychnine toxicity
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...
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?
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.
An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?
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?
The spinal patient from Microbial Mystery 005 has returned from the operating theatre. Within 15 minutes she is unconscious. What's going on?
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...
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz