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

Ultrasound cases top 100 340

Ultrasound Case 005

A 66 year old woman presents with gradually increasing shortness of breath. She had a syncopal event whilst standing in church and remains grey and sweaty.

Ultrasound cases top 100 340

Pneumothorax Case 4

A 32 year old man presents with a 4 day history of increasing right sided chest pain and associated shortness of breath.

Ultrasound cases top 100 340

Pneumothorax Case 3

A 31 year old male presents after what is thought to be a superficial penetrating chest wound. You perform an ultrasound. What does this show?

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.

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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?

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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: