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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

ENT-Equivocation-LITFL-340

The True Angina

A 44 year-old man presents to the ED 2 days after having an infected left mandibular second molar tooth extracted by his dentist.
ENT-Equivocation-LITFL-340

Just a sore throat

aka ENT Equivocation 002 A 38 year old male with a background history of type 2 diabetes presents with fevers, rigors and pain on swallowing. There is no sign of impending airway compromise; however, marked trismus is noted. The following…

Metabolic-Muddle-LITFL-Clinical-340 256

You can beat the feeling

It’s a busy night shift in the ED (as always) and one of the Interns comes to present a case to you. He’s seen a 23 yr old female who has presented with lethargy and weakness. While you're listening to the Intern your phone rings — it's the lab calling to tell you the patient’s potassium is 1.9 mmol/L.
Metabolic-Muddle-LITFL-Clinical-340 256

Hypernatraemia and Acidosis

A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?
Metabolic-Muddle-LITFL-Clinical-340 256

Staph Sepsis Acidosis

You are asked to review a 73 year old lady who is in hospital for treatment of septic arthritis affecting a prosthetic right hip joint inserted 5 years earlier.
Metabolic-Muddle-LITFL-Clinical-340 256

Waxing and Waning Weakness

A 50 year old Chinese female presents with severe weakness. She has a history of previous similar episodes that self-resolved. What's going on?
Metabolic-Muddle-LITFL-Clinical-340 256

Could it be renal colic?

Consider a 65 year-old male presenting with right-sided flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic:
ENT-Equivocation-LITFL-340

The Hurty Throat

It's your first day on the job in the ED and first up is a 23 year-old male with a 2 day history of a sore throat. He's had difficulty swallowing and finds it painful to eat and drink.
Pulmonary Puzzler 340

Above the clouds

Environmental Enigma: One of your colleagues tells you he is going to climb Mt Kilimanjaro next month. He has never been to altitude before and asks you how he can prevent altitude sickness while on his trek...
Pulmonary Puzzler 340

Puzzling out the PERC rule

A patient has chest pain and shortness of breath. Is there a way to rule out pulmonary embolism without further investigation? Can you use the PERC rule?
Pulmonary Puzzler 340

Puffed Post-Tracheostomy

An ICU patient has become increasingly 'puffed' post-tracheostomy. Can you figure out why? What are your going to do about it?