Case of the Month Archive
The Case of the Month Archive has all our cases published so far.
1 December 2022
A 46 year old male was brought in by ambulance to the Emergency Department after being found by friends in an unresponsive state...
Author Dr James Hewitt
Author Dr James Hewitt
22 September 2022
A 22-year-old woman presents to the Emergency Department with fever, chills, headache, muscle aches, and a diffuse erythematous rash resembling sunburn over her body.....
Author Dr Elaine Yip
Author Dr Elaine Yip
12 August 2022
A 61 year old gentleman was admitted to the Emergency Department following a witnessed sudden collapse...
Author Dr Marc Fadden
Author Dr Marc Fadden
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14 July 2022
A 42 year old female, presents to the Emergency Department with worsening shortness of breath. She has been unwell for a few days with increasing breathlessness and cough, which isn’t relieved with inhalers. She also reports increasing swelling of her feet and legs over the past 2 weeks...
Author: Dr Swathi Pinto
Cardiovascular; Cardiothoracic
Author: Dr Swathi Pinto
Cardiovascular; Cardiothoracic
1 June 2022
The emergency department refers a 72-year-old gentleman who woke up this morning with excruciating pain in his chest and between his scapulae, which he describes as ‘tearing’. He is known to have hypertension and has a 50 pack-year history of smoking. On examination he has a heart rate of 103 beats-per-minute (BPM) and a blood pressure (BP) of 190/101mmHg in the right arm and 171/97mmHg in the left...
Author Dr Joslan Scherewode
Cardiovascular
Author Dr Joslan Scherewode
Cardiovascular
12 May 2022
It’s February and a concerned mother brings in her 4-month-old boy, Jacob, to the paediatric emergency department. After two days of fever and runny nose, his mother, Janice, takes him to the General Practitioner. Today, Janice is concerned by his chesty cough and audible wheeze...
Author Dr Jonathan La Crette
Paediatrics; Respiratory
Author Dr Jonathan La Crette
Paediatrics; Respiratory
You are called to see a 52-year-old gentleman on the coronary care unit who was admitted with a myocardial infection 3 days ago...
Authors Dr Gursevak Singh and Dr Andrew Martin
Cardiovascular; Cardiothoracic
Authors Dr Gursevak Singh and Dr Andrew Martin
Cardiovascular; Cardiothoracic
A 75 year old man presented to the Emergency Department with a 1 week history of progressive proximal leg weakness, a subsequent fall and resultant long lie on his living room floor. On arrival he was noted to be short of breath and had SpO2 of 82% on air...
Author: Dr David Burtle
Biochemistry; Renal
Author: Dr David Burtle
Biochemistry; Renal
A 40 year old lady presented to hospital with decreasing conscious level. She was found by her partner with empty paracetamol packaging on the floor...
Author: Dr Mohamed Shoaeir
Cardiovascular; Cardiothoracic
Liver; Toxicology & Pharmacology
Author: Dr Mohamed Shoaeir
Cardiovascular; Cardiothoracic
Liver; Toxicology & Pharmacology
A 61 year old lady presents to hospital with lethargy, generalised aches and pains, cough and 2 episodes of loose stool...
Author: Dr Rick Bell
Renal
Author: Dr Rick Bell
Renal
A 53 year old male currently on the Haematology ward is referred because of type 1 respiratory failure...
Author: Dr Grace Hoey
Haematology
Author: Dr Grace Hoey
Haematology
A 34 year old primigravida of Asian ethnicity at a gestation of 36+4 and BMI 24 has presented to obstetric triage...
Authors: Dr Stuart Edwardson & Dr Arlene Wise
COVID, Obstetrics
Authors: Dr Stuart Edwardson & Dr Arlene Wise
COVID, Obstetrics
A 60 year old man is admitted to the intensive care unit with spontaneous bacterial peritonitis on a background of alcoholic liver disease...
Author: Dr Christopher Shaw
Gastrointestinal
Author: Dr Christopher Shaw
Gastrointestinal
A 55 year old man presented to hospital with acute onset shortness of breath, cough and a multiple episodes of small volume haemoptysis...
Author: Dr Rose Mudie
Respiratory
Author: Dr Rose Mudie
Respiratory
A 40 year old female presents to the Emergency Department with acute onset breathlessness, palpitations and haemoptysis...
Author: Dr Ben Peirce
Endocrine
Author: Dr Ben Peirce
Endocrine
A 60 year old woman was admitted to hospital with a one week history of increasing confusion and malaise...
Author: Dr Rathai Anandanadesan
Haematology
Author: Dr Rathai Anandanadesan
Haematology
A 35 year old woman presents to the Emergency Department with 1 day history of fever, urinary frequency and left loin pain...
Author: Dr Lucy Powley
Neuro
Author: Dr Lucy Powley
Neuro
A 74 year old gentleman is admitted to the critical care unit following a 3 week admission on the medical wards with pyrexia...
Author: Dr Matthew Wright
Haematology
Author: Dr Matthew Wright
Haematology
A 22 year old woman presents to hospital with a 3 day history of abdominal pain and vomiting...
Author: Dr Oliver Robinson
Gastrointestinal
Author: Dr Oliver Robinson
Gastrointestinal
A 48 year old woman recently commenced chemotherapy for a new diagnosis of acute myeloid leukaemia...
Author: Dr Claire Adams
Biochemistry, Renal, Toxicology & Pharmacology
Author: Dr Claire Adams
Biochemistry, Renal, Toxicology & Pharmacology
A 34 year old woman presented to the Emergency Department with a two day history of progressively worsening double vision, followed by ataxia and slurred speech...
Author: Dr Chris Allen
Neuro
Author: Dr Chris Allen
Neuro
A previously well 48 year old male, presents to ED with a 48 hour history of severe epigastric pain radiating to his back...
Author: Dr Colin McAdam
Gastrointestinal
Author: Dr Colin McAdam
Gastrointestinal
A 65 year old woman has a cardiac arrest at home. She is in VF and receives 2 DC shocks by the paramedics before return of spontaneous circulation (ROSC) is established...
Authors: Dr Andy Martin & Dr Lucy Priestner
Cardiovascular, Resuscitation
Authors: Dr Andy Martin & Dr Lucy Priestner
Cardiovascular, Resuscitation
A 40 year old male was admitted to intensive care unit requiring intubation and ventilation for community acquired pneumonia...
Author: Dr Louise Hartley
Respiratory
Author: Dr Louise Hartley
Respiratory
You are asked to review a 25-year-old female office worker who has presented to ENT with a sore throat and a progressive dysphagia...
Author: Dr Martin Smith
Neuro
Author: Dr Martin Smith
Neuro
You are called urgently to A&E to assist with a patient who is 36 weeks pregnant with a low GCS...
Author: Dr Tarni Duhre
Obstetrics
Author: Dr Tarni Duhre
Obstetrics
A 63 year old man with a history of hypertension and ischaemic heart disease has been admitted to the intensive care unit with refractory hypotension due to severe sepsis...
Author: Dr Adam Marshall
Cardiovascular
Author: Dr Adam Marshall
Cardiovascular
A 74 year old female with a background of hypertension presented to the emergency department with gradually increasing breathlessness and pleuritic chest pain following a recent long haul flight...
Author: Dr Rathai Anandanadesan
Respiratory
Author: Dr Rathai Anandanadesan
Respiratory
An unresponsive 76-year-old male is admitted to the intensive care unit. He has a past medical history of bipolar affective disorder...
Author: Dr Laura Kocierz
Endocrine, Renal, Toxicology & Pharmacology
Author: Dr Laura Kocierz
Endocrine, Renal, Toxicology & Pharmacology
A previously well 76-year-old male presents to ED having been found on the floor at home by a relative...
Author: Dr Colin McAdam
Neuro
Author: Dr Colin McAdam
Neuro
A 67 year old man has been admitted overnight to the intensive care unit. He presented with flu-like symptoms and a non-productive cough...
Author: Dr Pete Hersey
Respiratory
Author: Dr Pete Hersey
Respiratory
A 54 year old woman with a history of hypertension presented to the emergency department with a sudden onset severe headache...
Author: Dr Rosaleen Baruah
Neuro
Author: Dr Rosaleen Baruah
Neuro
A 40 year old male was found unresponsive in the garden. Initial GCS was 9 (E3V2M4) which deteriorated to 7 (E2V2M3) on arrival...
Author: Dr Kyle Gibson
Toxicology & Pharmacology
Author: Dr Kyle Gibson
Toxicology & Pharmacology
A 25 year old male is admitted to critical care following a motorcycle accident. ..
Author: Dr Sarah Marsh
Trauma
Author: Dr Sarah Marsh
Trauma
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