a whack to the flank….

the case. an 84 year old man is bought to your emergency department following a 3 metre fall from a ladder. He has landed on his right-hand side & is complaining of severe bilateral chest & flank pain.

chest pain and…

the case. a 41 year old male presents with sudden severe retrosternal chest pain radiating into the right flank. He also reports 3-4 weeks of intermittent chest tightness & that his doctor told him he “may need a heart valve…

having a dig…

the case. 87 year old female presents to your ED following an intentional overdose. She tells you that approximately 4 hours ago she ingested ‘most of [her] digoxin tablets’ that she bought earlier in the afternoon.

peas in a pod….

the case. an 81 year old male is referred by his GP for ongoing tachycardia & progressive hypotension. He has been gradually taken off his antihypertensives (telmisartan & prazosin) over the past 2-3 weeks as his BP has consistently been 80-90mmHg…