Bullet in the Head
A gun shot wound to the head provides the basis for a question-and-answer based discussion on penetrating traumatic brain injury and multi-modal monitoring.
Category LITFL
Look left, look right
An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?
Eye movements, coma and pseudocoma
A man is about to intubated for coma. What can be learned from a rapid neurological exam that includes assessment of eye movements? Could this be a pseudocoma?
Pseudobulbar and bulbar palsies
You have an emotionally labile patient in the department who sounds like 'Donald duck'. Before rounding up some students to 'pimp' you decide to test yourself on bulbar and pseudobulbar palsies so that you don't get caught out...
Coma in a spinal patient
The spinal patient from Microbial Mystery 005 has returned from the operating theatre. Within 15 minutes she is unconscious. What's going on?
Coma and small pupils
You are asked to review a 65 year-old man who is comatose (GCS 3) with small pupils (2 mm bilaterally). He has a history of diabetes mellitus and bipolar disorder. He was discharged from hospital yesterday, following a surgical procedure.
Brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
More brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
HIV brain mass
Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.
Pulseless Electrical Activity DDx
Pulseless electrical activity mandates immediate CPR and correction of underlying causes.
Post Cardiac Arrest Care
Post Cardiac Arrest Care: Priorities are prevent further cardiac arrest; define the underlying pathology; limit organ damage; predict non-survivors
Precautionary Principle and the Kehoe Principle
The Precautionary Principle (The absence of evidence of risk = a possibility of risk until proven otherwise) and Kehoe Principle (The absence of evidence of risk = Evidence of the absence of risk) reflect different conceptions of risk in the absence of evidence