Fever in a spinal patient
A woman had a spinal injury from a car crash at 2 years of age; she since had spinal surgery and has a baclofen pump. Now she has a fever - what's the cause?
Category LITFL
CAP Challenge!
Australia CAP - 'Microbial Mystery' of case-based Q&As focusing on causative organisms and antibiotic selection.
Sick, Shocked and Sunburned?
A 15 year-old female with fever, vomiting, diarrhoea, whole body 'sunburn' and hypotension. It's over to you...
Fulminant pneumococcal pneumonia
A 27 year old female with metastatic ovarian cancer for whom treatment options have been exhausted arrives in the ED in extremis.
Gram Negative Diplococci
21 year-old presenting to the emergency department with fevers and agitation. His lumbar puncture confirms Gram Negative Diplococci
Funtabulously Frivolous Friday Five 106
Funtabulously Frivolous Friday Five 106 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Dissociated Oxygen Saturations
What is the explanation for the discrepancy between the oxygen saturations on pulse oximetry and on arterial blood gas analysis in this patient?
Managing the Critical Bleeder!!
What are the definitions used to define "Critical Bleeding" and "Massive Transfusion"?
Recombinant Factor VIIa to the rescue!?
The trauma room has turned into a blood bath. You're going to have to buy new shoes. What should you throw at the patient - the kitchen sink or Factor VII?
Dealing with D-dimer debacles
An intern in the emergency department has been nervously standing behind you for the past ten minutes while you've dealt with a barrage of phone calls. He wants to discuss the positive d-dimer result of the patient he is working up. Y
Paget’s disease of the nipple
Paget’s disease of the nipple typically presents as a persistent abnormality of the nipple–areola complex, often resembling eczema or chronic dermatitis. The nipple or areola may become erythematous, hyperpigmented, crusted and thickened. It is hardened or nodular, with surface scaling,…
Gut under pressure
A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off... Can you save the day in this gastrointestinal gutwrencher?