Category Medical Specialty
Neurological Mind Boggler 340

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?

Neurological Mind Boggler 340

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.

Neurological Mind Boggler 340

Brainstem lesions

4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz

CCC Critical Care compendium 340

Refractory Shock in Trauma

Refractory shock in trauma is still most likely due to occult ongoing haemorrhage; shock may be due to the underlying cause of trauma e.g. MI leading to car crash

Neurological Mind Boggler 340

HIV brain mass

Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.

CCC Critical Care compendium 340

Cyanide Poisoning

Cyanide is a potentially lethal toxic agent that can be found in liquid and gaseous form. First discovered in 1786 by Scheele, who extracted it from the dye Prussian blue - and promptly died from exposure to the vapours

CCC Critical Care compendium 340

Purpura Fulminans

CAUSES Meningococcal disease Post-splenectomy pneumococcaemia DIC Rickettsial infections High dose inotropes Endocarditis Venom-induced consumptive coagulopathy (VICC) due to snakebite