Case of the Month

Sudden Onset Severe Abdominal Pain

Sudden Onset Severe Abdominal Pain

A 68-year-old man with a history of rheumatoid arthritis presents with sudden onset severe abdominal pain. On examination his abdomen is rigid, with generalized tenderness, guarding and rebound tenderness. An erect chest X-ray is performed, which is shown below:   1....

read more
Drug-Induced QT Prolongation

Drug-Induced QT Prolongation

A patient is discovered to have new onset QT prolongation when an ECG is performed as part of a cardiovascular assessment. He tells you that he was recently prescribed a new medication by his GP and wonders if that may be the cause. 1. What is a prolonged QT interval?...

read more
A Student with a Sore Throat

A Student with a Sore Throat

A 19-year-old student presents with a one-week history of a sore throat, low-grade fever, and malaise. She states that a week ago she had a fine rash over her body that faded quickly. On examination you note the presence of mild splenomegaly. 1. What is the most...

read more
A 30-Year-Old Man with a Strange Rash

A 30-Year-Old Man with a Strange Rash

A 30-year-old man presents with a rash on his hands that has been spreading proximally over the past couple of days and is now involving his trunk. He has recently suffered an infection. The rash is shown below: 1. What is the most likely diagnosis? This gentleman has...

read more
A 32-Year-Old Man with Recurrent Haematuria

A 32-Year-Old Man with Recurrent Haematuria

A 32-year-old man presents with recurrent episodes of haematuria and flank pain. On examination he has bilateral masses in his flanks and 3+ blood in his urine dipstick. He has a history of recurrent urinary tract infections and difficult to control hypertension. 1....

read more
A 75-Year-Old Man with Slurred Speech

A 75-Year-Old Man with Slurred Speech

A 75-year-old gentleman presents as an urgent patient at the end of a morning GP surgery. After breakfast this morning he noticed some difficulty ‘getting his words out’ and his wife said that his speech was slurred. The episode lasted for about 90 minutes and he now...

read more
A 67-Year-Old Woman with Agitation and Confusion

A 67-Year-Old Woman with Agitation and Confusion

A 67-year-old lady presents to the Emergency Department anxious, confused and agitated. She has also vomited several times. She has recently been started on a course of amoxicillin for a presumed chest infection by her GP. You are unable to take a coherent history...

read more
A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-Year-Old Woman with Abdominal Pain and Syncope

A 65-year-old woman presents to the Emergency Department acutely unwell with abdominal and lower limb pain. She had a syncopal episode in the department and was moved into the resuscitation area. She had been taking prednisolone for polymalgia rheumatica until...

read more
A Young Asthmatic with Headache and Abdominal Pain

A Young Asthmatic with Headache and Abdominal Pain

A 28-year-old man with a known history of asthma presents with headache, nausea and abdominal pain. His heart rate is elevated at 117 bpm. He currently takes a salbutamol inhaler and a theophylline for his asthma. He had attended the Emergency Department a few days...

read more
A Blood Transfusion Reaction in a 42-Year-Old Woman

A Blood Transfusion Reaction in a 42-Year-Old Woman

A 42-year-old woman receives a blood transfusion for anaemia secondary to heavy vaginal bleeding. 4 hours after commencement of the transfusion she complains of feeling breathless and has developed a dry cough. Her temperature is measured at 38.1ºC. A chest X-ray is...

read more

Subscribe to our Newsletter

Never miss our case of the month, exam tips, and articles.

Pin It on Pinterest