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

Pulmonary Puzzler 340

Ballooning Up

A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.

Pulmonary Puzzler 340

Pulmonary panic

A 17 year old female with a background history of HIV presents with a 3 day history of fevers, chills and rigors. Her admission chest X-rays are shown below:

Pulmonary Puzzler 340

Pneumonia gone bad

Consider a 56 year old male with no past medical history presenting with 10 days of fevers, chills, myalgia and cough followed by worsening breathlessness over the past 4 days.

Pulmonary Puzzler 340

Not just a PE

A classic respiratory case. This 25 year old female presented with worsening breathless. She has no previous medical problems.

Pulmonary Puzzler 340

Not just pneumonia

A 30 year-old male presented with 24 hours of worsening respiratory distress, following a 5-day prodrome of cough, fever, diarrhoea, lethargy and malaise.

Oncological Quandary 340

Pulmonary Re-expansion

A 45 year old woman with metastatic ovarian cancer is admitted for VATS pleurodesis and drainage of bilateral pleural effusions.

Oncological Quandary 340

Cannon Balls

A 26 year-old male, with no previous history of seizures, was BIBA with status epilepticus. He was intubated to facilitate seizure management

Oncological Quandary 340

Troubling Lab Strife

aka Oncological Quandary 002 A 30 year-old woman presents with abdominal pain and paraesthesiae. She was diagnosed with CML 2 months previously, and was treated with chemotherapy a month prior to presentation. These are her lab results: Questions Q1. Describe…

Oncological Quandary 340

From the Hip

Consider a 16 year old who presents with a 3 week history of severe hip pain followed by increasing breathlessness and left sided chest pain. His admission chest X-ray is shown below:

Ruling the Resus Room 340

Own the Oxylog

If you're a doc or nurse in Australasia and you take care of critically ill patients chances are you should be familiar with the Oxylog 3000.