Acute Alcohol Withdrawal
What? A 33-year-old male was admitted to the emergency department after having 2 alcohol withdrawal seizures. He had been drinking 30U alcohol per day for many years and over the previous week he had...
View ArticleCURB-65
What? A 72-year-old male presented to the Emergency Department (ED) in the morning having woken with shortness of breath and a slight change to the colour of his sputum. His temperature had been...
View ArticleEctopic Pregnancy
What? A 36-year-old female presented to the emergency department (ED) with a 3-day history of diarrhoea (approximately 5 episodes per day). The diarrhoea initially had a small amount of blood but had...
View ArticleFull Blood Count (FBC) in acute appendicitis
What? A 19-year-old female presented to the emergency department (ED) with a 3-hour history of right iliac fossa (RIF) abdominal pain and a low-grade fever. A urinalysis performed confirmed no...
View ArticleCaustic Soda
What? A 3-year-old male was admitted to the ED after his mother had witnessed him drinking caustic soda. Whilst cleaning the house she had accidentally left open a cupboard where he was able to access...
View ArticleTransient Synovitis
What? A 2-year old male attends with a history of not wanting to bear weight on his left leg since getting out of bed that morning. His mother gave him Paracetamol prior to their attendance to the...
View ArticlePalpitations
What? A 71-year-old man with a history of Atrial Fibrillation (AF) presented to the Emergency Department (ED) with a 3-day history of increasing palpitations following the reduction of his daily...
View ArticlePaediatric appendicitis – Clinical decision rules
What? An eight-year old male was admitted to the Emergency Department (ED) with a 6-hour history of severe peri-umbilical abdominal pain. He had one episode of vomiting, complained of nausea, and an...
View ArticleAXR in abdominal pain
What? A 52-year-old male presented to the emergency department (ED) with a 1 day history of severe central abdominal pain and nausea. An AXR was undertaken as part of his care in the ED that...
View ArticleCroup
What? A 3-year-old male presented to the emergency department (ED) with a 12 hour history of a barking cough.He had been running a low-grade temperature (37.5C) but had otherwise been his normal self....
View ArticleHead injury and anticoagulation
What? A 79 year old gentleman attends the Emergency Department (ED) after having tripped over his dog whilst out walking. He sustained a laceration to the back of his head. He did not lose...
View ArticleThoracic aortic dissection
What? A 45-year-old female presented to the ED with a sharp central chest pain radiating slightly through to her back. It had started yesterday whilst leaning forward and reaching for a heavy object...
View ArticlePaediatric hypertension
What? A twelve-year-old girl presents to the Emergency Department (ED) having had a fall at school, she is diagnosed with a sprain to her left wrist and minor head injury (contusion to her forehead)....
View ArticleUrine – to dip or not?
What? An 84-year-old female was found on floor by carers. No obvious head injury and was alert on scene with some mild confusion. Paramedics had documented strong smell of urine and a collateral...
View ArticleFever – is it cool to be hot?
What? A 60-year-old female has presented to the ED with a cough and fever for 2 days. She has her observations recorded in triage and has a fever of 38.1C (tympanic). She otherwise feels well and does...
View ArticleBronchiolitis
What? An 8-month old female is presented to the emergency department (ED) with a 3-day history of reduced feeding and less wet nappies. Accompanied by her parents and 4-year old sister, they report no...
View ArticleBuckle and Greenstick Fractures
What? A 9-year-old male presents to the Emergency Department (ED) following a fall whilst playing rugby at school earlier that day. He presents with left wrist pain and mild swelling. There are no...
View ArticlePaediatric Gastroenteritis
What? A 4-year-old male presents to the Emergency Department (ED) with a 3-day history of diarrhoea. The illness began with 24-hours of vomiting, subsiding as the diarrhoea became apparent. He had been...
View ArticleNeonatal Jaundice
What? A 2-week old baby girl is presented to the emergency department (ED) by her parents on the advice of her Health Visitor (HV) who has noted that she still appears to be jaundiced. Her parents tell...
View ArticleAcute Throat Infections
What? 14 year old girl presents to the Emergency Department (ED) with a 4 day history of fever (38.7C), sore throat and odynophagia. On examination, she appeared comfortable but was pale, had...
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