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.
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
Pacemaker Panic #2
An ECG case of pacemaker failure. Can you guess the underlying cause of the Pacemaker Panic?
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
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 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.
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 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
Shock, syncope and severe chest pain
A 67-year old male is brought to hospital by ambulance with severe chest pain, sweating, vomiting and syncope. LMCA Occlusion
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
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 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
Metabolic Mayhem
Two quick ECG problems for you this week. See if you can spot the common thread. This potassium with hyperkalemia, hypokalaemia