Pleural Effusion Case 002
A 27 year old man presents with fevers and increasing shortness of breath presents to your department. He has a vasculitic peripheral rash and feels generally unwell.
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
Valproate: Still Big Trouble!
The patient from Toxicology Conundrum 055 with a massive valproate overdose arrives in the ICU, can you manage things from here?
Valproate: Big Dose, Big Trouble!
A man presents with decreased level of consciousness following a probable ingestion of 96g of sodium valproate. Can you handle this toxicological emergency?
Pneumonia Case 004
A patient presents with fever, cough and purulent sputum. What do you see?
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.
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?