Category LITFL
Trauma Tribulation 340 256

Roman Breastplate

Burns were sustained by a 35 year-old man from a house fire. They are extensive and severe, affecting his trunk and upper limbs. He undergoes escharatomy.

Trauma Tribulation 340 256

A Fiendish Finding

A 21 year old female presents with acute onset of unrelenting abdominal pain and vomiting four years after a major motor vehicle accident. A chest X-ray is performed:

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John Floyer

Sir John Floyer (1649–1734) English physician, Inventor of pulse watch (1707); advocate of cold bathing and hydrotherapy and asthma therapy

Graves Ophthalmopathy

Graves Ophthalmopathy: constellation of findings, apparent in 25-50% of patients with Graves disease. Robert Graves 1835

Trauma Tribulation 340 256

A bashed head

A 27 year-old male was involved in head on collision at high speed. He was GCS 8 at the scene.

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Graves disease

Graves disease: Autoimmune disease that affects the thyroid. A form of hyperthyroidism manifesting the triad of goitre, exophthalmos and pretibial myxoedema.

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Paul Julius Moebius

Paul Julius Möbius (1853-1907) was a German neurologist specialist in neuroanatomy and neurological disorders. Möbius sign, syndrome, disease

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Möbius sign

Möbius sign: Diagnostic test in patients with Morbus Basedow (Graves disease) - the inability to maintain ocular convergence in the presence of hyperthyroidism.

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Dupuytren contracture

Dupuytren contracture: A gradual thickening and tightening of the fascia under the skin of the palm and fingers in the hand.

Trauma Tribulation 340 256

Another complication of facial trauma

A 27 year old male with head and extensive facial trauma is admitted to the intensive care unit after a neurosurgical intervention for an acute subdural haemorrhage. There has been difficulty with oxygenation in the operating theatre.

Trauma Tribulation 340 256

It’s not a bird or a plane…

18 year old man day 7 in ICU after jumping from a building. Tracheostomy performed the day before. Acute respiratory distress with inability to pass a suction catheter through the tracheostomy tube.