Brain Dead?
A baffling case of apparent brain death... Can you work out what has happened? A 35-year old female with a history of multiple sclerosis and depression is found collapsed at home. She is known to have access to quetiapine.
Category Medical Specialty
Abdominal Compartment Syndrome
Abdominal Compartment Syndrome and Intra-abdominal Hypertension
A Fumbling, Mumbling Mess!
A 41-year old man is brought to ED after becoming drowsy while in police custody. He states that he has taken an overdose of diazepam tablets prior to being arrested. A puzzling case of drug-induced delirium. Can you solve the mystery?
Paracetamol-Induced Hepatotoxicity
A case of paracetamol-induced hepatotoxicity with a discussion of the Schiodt scoring system for predicting paracetamol-induced liver failure.
No Radial Pulse
Your patient's finger tips have turned blue, and the paramedics are unable palpate a radial pulse.... "Is he in cardiogenic shock?" could this be Raynaud's phenomenon
Spinal cord infarction
Spinal cord infarction is necrosis of a portion of the spinal cord as a result of an interruption of the blood supply to the spine
Propanolol Overdose
aka Toxicology Conundrum 044 A 27-year old female weighing 60kg presents to ED approximately one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with…
Mistaken Identity
A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.
Therapeutic Showering
A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.
A Remorseless Poison
A 20 year-old female had a polypharmacy overdose 36 hours ago. She has had symptoms of GI upset (nausea and vomiting), some anxiety and mild confusion. Her life is in your hands...
Seafood poisoning
A couple present to the ED with vomiting and paraesthesiae after eating at a seafood restaurant. Can you help them by solving the seafood poisoning conundrum?
Hypoglycemia, but how?
A man presents with hypoglycemia, but has no history of any other illness nor a history of ingesting a hypoglycemic agent. Can you unravel the puzzle?