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.
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?
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?
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...
More brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
Brainstem lesions
4 more scenarios for Peter Gates Brainstem Rule of 4. Neurological lesion identification and neuro examination quiz
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.
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
Paediatric Trauma Patient
Apply ATLS/APLS protocol: primary survey to exclude life-threatening injuries, secondary survey, re-evaluation and definitive care.
HIV brain mass
Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.
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