A 50-Year-Old Woman with an Itchy, Blistering Rash

A 50-Year-Old Woman with an Itchy, Blistering Rash

A 50-year-old woman presents with a painful, blistering rash affecting her face, limbs and trunk. She initially noticed painful blisters in her mouth, but these subsequently spread to the skin a few weeks later. The blisters, where present are large and flaccid. Most...
A 22-Year-Old Man with a Nasal Injury

A 22-Year-Old Man with a Nasal Injury

A 22-year-old man has been struck on the bridge of the nose during an altercation outside a nightclub last night. He had a brief episode of epistaxis at the time, which stopped after pressure was applied to the nose. He is complaining of a painful, deformed nose and...
A 25-Year-Old Woman with a Nosebleed

A 25-Year-Old Woman with a Nosebleed

A 25-year-old woman presents with a nosebleed that started after blowing her nose 30 minutes ago. She is currently catching the drips in a bowl and you have been asked to see her urgently by the triage nurse. Her observations are normal, and she has no haemodynamic...
A 53-Year-Old Woman with Hypertension and Hypokalaemia

A 53-Year-Old Woman with Hypertension and Hypokalaemia

A 53-year-old woman has been visiting her GP with symptoms of tiredness, muscle weakness and headaches. She is known to be hypertensive and takes amlodipine to control this. Her blood results today show that her potassium level is low at 3.0 mmol/L, and her sodium...
A 34-Year-Old Man with Hyperkalaemia

A 34-Year-Old Man with Hyperkalaemia

A patient with a history of renal problems generalised weakness, palpitations and chest pain. His serum potassium levels are measured and come back at 8.2 mmol/L. An ECG is performed, and it shows some very alarming changes. 1. What is the definition of hyperkalaemia?...

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