Pneumonia Case 003
A 40 year old man presented with high fever, tachycardia and vomiting. You search for a source of infection; this is his chest x-ray.
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
Pneumonia Case 002
This young man presents with high fevers and shortness of breath. He also complains of chest discomfort and an odd feeling in his neck. He is febrile, tachycardic, tachypneoic and hypoxic.
Pneumonia Case 001
This patient presented with right upper quadrant pain and a fever. The clinical suspicion was cholecystitis. What does the ultrasound show?
A Really Tricky ABG?
aka Metabolic Muddle 013 A 30 year-old female was admitted to the ICU following a traumatic brain injury. Her ABG was normal on arrival. Since admission her condition has deteriorated and she now has circulatory failure requiring 100mcg/min of noradrenaline…
Wide, Complex and Troublesome
A regular wide complex tachycardia. What is the role of adenosine in diagnosis and treatment? What are the other options?
A Problem with Plumbing
The plumbing problem is this: a man has a urinary catheter in situ, it won't come out. What are you going to do about it?
Neonatal Diversion
There is something strange about this chest x-ray of a neonate who has just arrived in ICU from the OR. What is the oddity and what are the implications?
ROSC, hypotension and an ECG exigency
A patient has had an out-of-hospital cardiac arrest, but thanks to great prehospital care has achieved ROSC. What does the ECG show? What do you need to do next?
Toxicology Mnemonic Challenge
There are multiple learning tools used as an adjunctive aide memoire. Herewith a collection of Toxicological related mnemonics used with varying frequency throughout the conundrums. Let us know if you have any more to add...
ICE 016 Delayed presentation chest pain
The previous evening, a 59 year old man experienced an hour long episode of chest pain which resolved spontaneously. He has had no further chest pain, but encouraged by his family he presents to ED the next morning. A bedside cardiac troponin test is negative. This is his ECG taken at the same time.
ICE 015: Progressive rash and fever
A 22 year old woman with a past history of a seizure disorder presents to the ED with a 3 day history of progressive rash and fever. The rash began as macules and papules on the chest and neck and has now become blistered and eroded and involves the mouth and eyes. Her temperature is 39°C and she feels miserable
ICE 014: Pleuritic Pain
A 24 year old woman presents to ED with a 12 hour history of shortness of breath and left sided pleuritic chest pain. She has no significant past medical history and is on no regular medications. Her vital signs are normal.