A 29-year-old man presents with severe unilateral abdominal pain originating in the left loin and radiating to the groin. The patient is restless and cannot lie still, and he is also complaining of marked nausea. His urine dipstick is positive for blood only. 1. What...
A 70-year-old woman presents with palpitations and breathlessness. Her observations show that she is hypotensive and tachycardiac, and she is complaining of chest pain. She is promptly transferred to resus. After being moved to resus she is administered three...
A 60-year-old man presents with dizziness and palpitations. Whilst in the Emergency Department the following rhythm strip is recorded: 1. What does the rhythm strip show? Show Answer The rhythm strip in this case shows torsades de pointes. 2. Which underlying...
A 74-year-old man, who is a lifelong smoker, is diagnosed with a small cell carcinoma of the lung. Following further investigation, it is discovered that he has developed the syndrome of inappropriate ADH secretion (SIADH) as a consequence of this. 1. What typical...
A 15-year-old boy presents with a 7-day history of a sore throat, low-grade fever, and malaise. He states that a week ago he had a fine rash over his body that faded quickly. On examination, you note the presence of mild splenomegaly. He is eating and drinking well,...
A 30-year-old accountant presents to your afternoon surgery to discuss the management of his migraines. He has been under quite a lot of stress at work and his migraines are occurring 4-5 times per month. His last attack was quite disabling and lasted 3 days. He...
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