A Patient with Bleeding Gums and Spontaneous Bruising

A Patient with Bleeding Gums and Spontaneous Bruising

A 27-year-old man presents with bleeding gums and easy bruising. He also states that he has felt very tired lately and has had recurrent chest infections over the past few months. He had glandular fever approximately 6 months ago and feels that his symptoms started...
A Patient with von Willebrand Disease

A Patient with von Willebrand Disease

You are working at a local walk in centre on a busy Saturday afternoon. A patient presents with epistaxis. You are having difficulty in controlling the bleeding and consider packing his nose and transferring him to the nearest Emergency Department. The patient tells...
A 4-Month-Old with Bronchiolitis

A 4-Month-Old with Bronchiolitis

A 4-month-old boy is brought by his parents to see his GP due to a history of fever, cough and breathing difficulties. A diagnosis of acute bronchiolitis is made. What is bronchiolitis? Show Answer Bronchiolitis is an acute infection of the lower respiratory tract...
A Subdural Haematoma in a Patient Taking Warfarin

A Subdural Haematoma in a Patient Taking Warfarin

A 73-year-old woman with a history of atrial fibrillation (AF) presents with a head injury and reduced conscious level. She takes warfarin for her AF and her INR was 2.7 a few days ago. A CT scan of her head is performed which demonstrates the presence of a subdural...
A Crashing Asthmatic

A Crashing Asthmatic

A 24-year-old woman with a history of brittle asthma is brought to the Emergency Department by her boyfriend. She is very short of breath and wheezy and her condition deteriorates rapidly. Following back to back nebs, hydrocortisone and IV magnesium sulphate, she is...
An Overdose with an Unknown Substance

An Overdose with an Unknown Substance

A 30-year-old woman presents having taken an overdose of an unknown substance. She is drowsy and slurring her speech. Her observations are as follows: HR 116, BP 91/57, SaO2 96% on air. GCS 11/15. The results of her arterial blood gas (ABG) on air are shown below:  ...

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