Blogs

"A 25 year old lady has returned from her holiday in Australia, she too has become short of breath. She also has noticed some pains in her calf and now she has a stabbing pain in the left of her chest, worse every time she breathes in. She also takes the OCP."

"You are just starting in Resus and take a handover for what sounds like a rather interesting trauma case in bay 3. You are asked to do the secondary survey."

"An unknown male has been brought into the ED having been struck by a car whilst crossing the road."

"A 59 year old man is brought into the assessment bay, he is vomiting fresh red blood and has a brought a bowl full of it. You notice he looks a little jaundiced."

"For each of the cases below read the description and calculate the GCS. Try to do it from memory rather than looking up the breakdown, this can easily come in part B of MCEM."

A 82 years old lady presents to the ED after rolling out of bed at her residential home. She has been complaining of left leg pain since it happened a few hours ago but has been able to weight bear and walk with a little support.

A 24 year old presents to the ED after falling off his skateboard attempting a stunt. His only apparent injury is to his right lower leg.

John, a 72 year old man woke up this morning and felt dizzy when getting out of bed. Since then whenever he stands up or moves he describes a spinning sensation and feels sick.

A mother brings her 2 year old son to the emergency department, he has been hot and clingy all day.

Mrs Brown is an 80 year old lady admitted from a residential home. She has had two days of profuse watery diarrhoea and her carers report she has not been eating or drinking much and generally not herself. She finished a 5 day course of cefalexin for UTI yesterday.

A 25 year old female presents to the ED complaining of LIF pain and PV bleeding. Her LMP was 8/52 ago. Urinary pregnancy test performed at triage was positive.

You are working in the ED and see a 29 year old woman with pelvic pain and wonder if she may have PID.

A 37 years old man is found by his 15 years old son at his home fitting. He was lying on the living room sofa with jerking movement of all 4 limbs.

A 52 years old woman with known Down’s syndrome presents to the majors department in the ED following a collapse at home.

A 38 year old man has presented to the Emergency Department with a chronic history of shortness of breath.

A 54-year-old white male presented to the Emergency Department with complaints of progressive dyspnea and chest pain that had started simultaneously with acute onset 8 hrs before arrival.

"Mrs Jones is a 40 year old patient who presented with a laceration to her right thigh sustained as she jumped off a removal van whilst moving house. You assessed her and diagnosed a simple laceration which one of the nurses has started to suture."

A 30 year old man is brought to the ED by his new wife, she has noticed he has become more “yellow” over the past few days. He has felt unwell with a fever, fatigue, malaise and vomiting. He has no significant PMH and takes no medications. They only returned from their honeymoon to Mexico a month ago.

A 67 year old diabetic man comes to your ED feeling unwell, he tells you that he hasn’t passed much urine in the past two days. He recently had a flare up of his gout and was started on a new tablet by his GP.