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

ICE -Ian’s clinical emergencies 340

ICE 010: Skin rash and fever

A 22 year old man has just returned from a surfing trip to Timor. While away he developed a fever, headache and generalised aches and pains. The fever settled for a day or two but has now returned and he has developed a rash. The aches and pains continue unabated. He feels miserable.
ICE -Ian’s clinical emergencies 340

ICE 009: Foot trauma

A 29 year old man stumbled into a gutter, tripped awkwardly and fell injuring his left foot. He has diffuse swelling and tenderness of the mid foot and is unable to weight bear on that limb.
ICE -Ian’s clinical emergencies 340

ICE008: ABG Puzzler

A femoral arterial blood gas sample is obtained from a 41 year old man...obtained when the barometric pressure was 272mmHg and the PiO2 47mmHg
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Winter is Coming

A case of anterior MI presenting with De Winter T waves. Learn to recognise this sign of critical LAD stenosis on the ECG...
ICE -Ian’s clinical emergencies 340

ICE 007: Abdominal pain investigations

A 57 year old man presents to the ED with 18 hours of severe upper abdominal pain, fever, nausea and vomiting. He looks jaundiced, his HR is 120bpm, BP 110/60, RR 22 and his temperature is 37.8oC. He is tender and guarded in his right upper quadrant on abdominal palpation.
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Another Widow Maker

A 55 year old man presents with a good chest pain story that makes you nervous. A review of ST elevation in aVR and LMCA Stenosis
ICE -Ian’s clinical emergencies 340

ICE 006: Knee injury X-ray

A 24 year old man is brought into the ED with an injury suffered playing touch rugby. He tried to stop and turn suddenly just as another player collided with him. Describe his X-ray
ICE -Ian’s clinical emergencies 340

ICE 005: Collapse ECG

A 27 year old man had a dizzy spell and then collapsed while playing indoor soccer. Bystanders thought that he had a brief loss of consciousness but he woke up quickly and now feels well. Describe his ECG
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VT or not VT

"VT or not VT? That is the question..." you muse. Then your patient Bill says "A shock, a shock, my kingdom for a shock"...
ICE -Ian’s clinical emergencies 340

ICE 004: Chest pain ECG

A 64 year old man attends the ED after developing chest pain radiating to the jaw and right arm while playing tennis. The pain has now been present for nearly half an hour and continues unabated. Describe his ECG