Category LITFL
ICE -Ian’s clinical emergencies 340

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.

Is FOAM at fault?

A medical practitioner learns something from FOAM, puts it into practice and things go wrong... Who is at fault?

ICE -Ian’s clinical emergencies 340

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.

ICE -Ian’s clinical emergencies 340

ICE 010: Skin rash and fever

A 22 year old man has just returned from a surfing trip to Timor. While away he developed a fever, headache and generalised aches and pains. The fever settled for a day or two but has now returned and he has developed a rash. The aches and pains continue unabated. He feels miserable.

Toxicology-Library-Antidote-340-256

Black Snake Antivenom

Black Snake antivenom (equine IgG Fab) can be used to treat envenomation from the black snakes in Australia and Papua New Guinea, these include the mulga snake, Butler's mulga snake, Collett's snake, Papuan black snake, red-bellied black snake and the blue-bellied black snake

ICE -Ian’s clinical emergencies 340

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.

eponymictionary-340-256 2

Roth spots

Roth spots: Retinal haemorrhages with white or pale centres, commonly associated with subacute bacterial endocarditis and immune complex mediated vasculitis.