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Malignant renal obstruction without dilatation
A 61 year old male presented with a one-week history of abdominal pain and loose stools. He had recently received treatment for cellulitis with flucloxacillin. He was anuric on presentation requiring
Dealer’s Dytonia (Croupier’s Cramp) – An Unusual Hazard Of Gambling
Dystonia takes many forms and often presents acutely to emergency care. The diagnosis is often delayed because it mimics other more common conditions. This report describes a patient with a rare occupational
Shortness of breath: a common symptom with a rare cause
A 51-year old Caucasian male was admitted to the hospital with a history of breathlessness of one month duration. Prior to this he had been well. He complained that the shortness of breath…
Please log in or register to see more.A Chest X-Ray causing confusion
A 91-year old female presented to Acute Medical Unit with a 2 week history of shortness of breath and haemoptysis. Her past medical history included osteoporosis, depression, irritable bowel syndrome,
A Chest X-Ray causing confusion
The Chest X-Ray (Figure 1) shows right unilateral pulmonary oedema with small bilateral pleural effusions. Unilateral pulmonary oedema can easily be mistaken for other pathologies such as pneumonia
The Source of the Problem
The portable chest x-ray (Figure 1) shows a widened cardiac silhouette. An endotracheal tube is in situ, indicating the patient is now intubated.
The ECG (Figure 2) shows sinus rhythm with widespread
Non traumatic spinal epidural haematoma
Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for…
The Source of the Problem
58-year-old lady presented to the Emergency Department with a two-day history of shortness of breath and confusion, on a background of one week’s history of general malaise, vomiting, fevers and
Case based review: Toxicology on the Acute Medical Unit
Accidental and intentional poisoning from prescribed, illicit and organic substances remains a major cause of morbidity and mortality worldwide and accounts for just under 1% of the total number of
Early Supported Discharge for patients with febrile neutropenia – Experience at a large district hospital in the UK
Neutropenic sepsis can be life threatening, with mortality 2-21%. The heterogeneity of patients referred with “suspected neutropenic sepsis” has led to strategies being developed to risk-stratify