The Half Moon Nail
Subungual haeamtomas are common presentations to minor injury units, the following covers how to diagnose, assess and manage them is covered.
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
Devil’s Horn Sign
A young man injures his hand and realises something isn't right when he performs the 'Devil's Horn' sign while listening to Heavy Metal.
Stairs versus Wrist
A 50 year-old woman took a tumble down some steps and injured her left wrist. Can you correctly diagnose and manage her injury?
Distraction
A 50 year-old man required intubation for seizure control after he presented in status epilepticus. Post-intubation chest radiograph is shown.
Gordon Bennett!
A 27 year-old amateur martial artist needs your help after smashing his fist through a plank of wood. Can you diagnose and manage his injury?
Muscular claustrophobia
A 27 year-old man sustained an undisplaced midshaft fracture of his tibia, he was put in a long leg cast and sent home...what happened next?
Broken open
A women attends ER with an open fracture of her lower limb. How will you assess and manage her Open Ankle Fracture in emergency?
Frankly my dear, I do give a damn
An 18 month old girl is brought to ED after developing a very red rash over the last 2 days. She is now lethargic and refusing food and fluid
Do you want FPIES with that?
A 7-month-old infant is brought into the ED. The infant was well until 1 hour ago when she became pale, floppy and developed profuse non-bilious vomiting...
Busting the clotbusters (from SMACC 2013)
As revenge for an incident best left unmentioned, Chris Nickson of litfl.com handed me the poisoned chalice of speaking on tPA for stroke at SMACC 2013. This is the result. (Un)fortunately there is no actual video footage as I wasn’t…
Fingertip Injury
A guide to the assessment and management of common finger tip injuries in the emergency department.
Another Ankle Sprain
A 23 year-old female netball player presents c/o pain and swelling to her right ankle post playing netball. Does she meets the criteria for X-ray to rule out a fracture?