DeBakey Dissection
A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. DeBakey Dissection
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
Pneumothorax Case 2
A 16 year old woman presents with pleuritic chest pain and a slight sensation of dyspnoea. What does this ultrasound show?
Subcutaneous emphysema Case 1
An elderly patient with a history of mild COPD presents after falling onto a chair and hitting their chest. The presentation is with chest pain and shortness of breath. What does this scan demonstrate?
Intra-aortic Balloon Pump Trouble-shooting
Intra-aortic Balloon Pump Trouble-shooting QA cardiovascular curveball. Your patient has poor cardiac output after CABGx4 and starts IABP
The Paradoxical Alternative
49 year female old smoker with two weeks of increasing shortness of breath. She is treated for pneumonia on the ward but getting worse.
Intra-aortic Balloon Pump
IABP one of your patients had poor cardiac output after a CABGx4 and required the insertion of an intra-aortic balloon pump, what do you do?
Why so blue?
A 40-year-old man presented to the emergency department with shortness of breath, chest pain and reported a pre-syncopal episode. But why so blue?
Something’s not right…
Curveballs come from anywhere. A benign clinical history throws up an unusual CXR. Can you deal with this right sided aortic arch?
Cardiac Megacode
As leader of the MET team you were called to a 'Cardiac megacode' as a 57 year-old man has arrested on the ward post-operatively...
Sudden onset blue leg
A woman in the ICU has a problem. Her leg has turned blue. Can you handle this Phlegmasia case-based cardiovascular curveball?
Exercise-associated Hyponatremia
A 30 year-old female was BIBA to the ED following a seizure. She was running a marathon in hot weather. Nearing the end, after 5 hours running, she was seen fall to the ground and had a generalised tonic-clonic seizure.
Broken-hearted chest drain
This 86 year old male presented with shortness of breath. He developed a complication after insertion of a left chest drain.