Obstetric Bleeder
A 32 year-old woman is referred to the ICU post caesarean section. In the last 2 hours she has developed vaginal bleeding and oozing from her epidural site.
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
Palpable Excitement
A 76 year-old man presents with a florid spreading violaceous rash over most of his body - Palpable Purpura - What is your differential diagnosis?
Sulfa Drug Discombobulation
Is it safe to give a patient frusemide if he has an allergy to sulfa drugs? Are you feeling slightly immunologically discombobulated? The answer's here.
Traumatic Angioedema
A 33 year old caucasian female presented to the emergency department following minor trauma to her upper lip. Traumatic Angioedema?
The perfect human pathogen?
With winter comes norovirus. This Q&A post tests your knowledge of what may be the perfect human pathogen.
Escaping bugs
A 13-year old female with pyelonephritis is being treated with ceftriaxone. Enterobacter cloacae is cultured. Got a problem with that?
Fever in a spinal patient
A woman had a spinal injury from a car crash at 2 years of age; she since had spinal surgery and has a baclofen pump. Now she has a fever - what's the cause?
CAP Challenge!
Australia CAP - 'Microbial Mystery' of case-based Q&As focusing on causative organisms and antibiotic selection.
Sick, Shocked and Sunburned?
A 15 year-old female with fever, vomiting, diarrhoea, whole body 'sunburn' and hypotension. It's over to you...
Fulminant pneumococcal pneumonia
A 27 year old female with metastatic ovarian cancer for whom treatment options have been exhausted arrives in the ED in extremis.
Gram Negative Diplococci
21 year-old presenting to the emergency department with fevers and agitation. His lumbar puncture confirms Gram Negative Diplococci
Dissociated Oxygen Saturations
What is the explanation for the discrepancy between the oxygen saturations on pulse oximetry and on arterial blood gas analysis in this patient?