Brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
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
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.
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.
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.
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?
Escaping bugs
A 13-year old female with pyelonephritis is being treated with ceftriaxone. Enterobacter cloacae is cultured. Got a problem with that?
Sick, Shocked and Sunburned?
A 15 year-old female with fever, vomiting, diarrhoea, whole body 'sunburn' and hypotension. It's over to you...
CAP Challenge!
Australia CAP - 'Microbial Mystery' of case-based Q&As focusing on causative organisms and antibiotic selection.