A 21-Year-Old Woman Collapses at a Nightclub
A 21-year-old woman is brought to the Emergency Department after collapsing in a nightclub. On arrival, she is drowsy, diaphoretic, and markedly hyperthermic with a rectal temperature of 41°C. Her heart rate is 125 bpm, and her blood pressure is elevated at 170/83...
A Case of Difficult to Control Hypertension
A 53-year-old man returns for a review of his antihypertensive medication. He has attended multiple times, and his blood pressure has remained persistently elevated despite optimal therapy. He reports increasing fatigue and wonders if his symptoms are due to his...
A 78-Year-Old Man with Tiredness and Weight Gain
A 78-year-old British gentleman presents with tiredness, poor appetite and weight gain. He has noticed that his voice has become hoarse and deep. His hearing has also worsened over recent months. A photo of the patient is shown below: 1. What is the most likely...
A 38-Year-Old Woman Being Treated for a Paracetamol Overdose
A 38-year-old woman is being treated for a paracetamol overdose with acetylcysteine. Shortly after treatment started, she developed nausea, an urticarial rash and mild wheeziness. 1. What has happened? Show Answer She has developed an anaphylactoid reaction to...
