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?
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
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.
Lung collapse Case 1
This patient suffered right sided chest trauma with a rib fracture, tension pneumothorax and extensive surgical emphysema. Then became more SOB after treatment with ICC
Pneumothorax Case 1
A 20 year old man presents with shortness of breath and pleuritic chest pain. What does this ultrasound show?
ICE 013: Marathon runner develops chest pain
A 36 year old man has just completed a marathon. He develops chest heaviness, shortness of breath, nausea and feels dizzy and faint. He has no known past medical history and considers himself to be in excellent health, regularly competing in long distance running events.
ICE 012: 2 year old with a painful leg
A 2 year old child is brought in by her mother. The child is limping and seemingly refusing to weight bear on the right leg. The mother is a little vague about what might have happened but wonders if her daughter was injured while playing with her older siblings out in the garden this afternoon. The child objects to you touching and moving her right lower leg.
ICE 011: Tall Story
An 83 year old man with a past history of Type 2 diabetes, hypertension and ischaemic heart disease has become progressively unwell over the last 5 days. His GP discovered a pneumonia on CXR and has been treating him with oral antibiotics for the last 3 days but his clinical condition has continued to worsen.