Seizures, Somnolence and a Scary ECG
An 18-year old male is brought to ED by ambulance following a generalised seizure at home. Has he taken TCA, can you save his life?
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
Marathon-related ECG Exasperation
Can you correctly interpret the ECG findings in a marathon runner with gastroenteritis? What is their significance? Is this AIVR?
Puzzling Paroxysmal Palpitations
15-year old boy presents to ED with sudden onset of palpitations while playing sport. Manage this Broad Complex Tachycardia
Risky Rhythyms
This ECG Exigency serves up 5 different risky rhythm strips. Each tells a story. Can you work out what is happening before its too late?
Pain free and in VT?
A 62-year man who is awaiting a bed under the medics for investigation of an episode of chest pain earlier in the day. Is this Wellens?
Electrocardiographic Exigency
A 23 year-old man had an episode of syncope at home. He is in severe respiratory distress, extremely pale, dripping with sweat. ECG Exigency
Bedside Echo in Pulmonary Embolism
A 35 year-old female is brought to the emergency department after collapsing in a shopping centre. McConnell sign
Exogenous Calcium Embolism
Patient presentes to ED with acute shortnewss of breath post Percutaneous Vertebroplasty (PVP) with cement embolus cardiovascualr curveball
Pneumothorax Case 5
A 36 year old woman presents with sharp left sided chest pain.
What do these clips of her left chest show?
Tetraology of Fallot and BT shunts
Despite the therapeutic measures a 26 day-old boy with Tetralogy of Fallot has severe hypercyanotic spells and needs Blalock-Tausig shunt
DeBakey Dissection
A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. DeBakey Dissection
Pneumothorax Case 2
A 16 year old woman presents with pleuritic chest pain and a slight sensation of dyspnoea. What does this ultrasound show?