Severe Chest Pain Following Blunt Thoracic Trauma

Severe Chest Pain Following Blunt Thoracic Trauma

A 37-year-old man is involved in a high-speed motor vehicle collision. He was not wearing a seat belt and struck his chest on the steering wheel. He has presented complaining of severe central chest pain and breathlessness. You are the trauma call team leader. His...
An Unusually Severe Ear Infection

An Unusually Severe Ear Infection

A 76-year old woman presents has severe otalgia in her left ear that has been gradually worsening over the past few weeks. She describes the pain as being ‘unrelenting’ and she has been unable to sleep for several nights. Her family have noticed that the left side of...
Interpreting Diagnostic Tests

Interpreting Diagnostic Tests

What are diagnostic tests? A diagnostic test can be defined as ‘any kind of medical test performed to aid in the diagnosis or detection of disease, injury or any other medical condition’. Typically with any diagnostic test some of those at risk will be missed (false...
A Strange Rash After Swimming the English Channel

A Strange Rash After Swimming the English Channel

A 58-year-old woman presents to a walk-in clinic with a severe rash on her arms, legs and torso. The previous day she had swum the English Channel in 12 hours. When you examine her, you can see well-demarcated welts all over the affected areas with surrounding...
Understanding the Oxygen Dissociation Curve

Understanding the Oxygen Dissociation Curve

What is the oxygen dissociation curve?  The oxygen dissociation curve is a graph that plots the proportion of haemoglobin in its oxygen-laden saturated form on the vertical axis against the partial pressure of oxygen on the horizontal axis. The curve is a valuable aid...