Abstract A 52 year old patient, originally thought to have musculoskeletal chest pain was found to have features consistent with infective pleurisy on initial blood tests and chest x-ray, with a negative

Abstract Direct ophthalmoscopy is an essential part of the full systemic examination. However, the technique is challenging and time-consuming. In the acute medical setting therefore, it is advisable

Abstract Pulmonary embolism is common, treatable and often overlooked. Genetic factors such as factor V Leiden and acquired factors such as immobility, pregnancy, surgery and malignancy increase the

Abstract Ventilation of the asthmatic is a major challenge with a potential for catastrophic problems that can and should be anticipated. Therapy should be tailored to the individual’s needs. If managed

Abstract Cellulitis is a common medical emergency. Investigations often fail to establish the specific microbial aetiology and there are few data to support common choices of antibiotic therapy used

Abstract Anaphylaxis is a severe, potentially life threatening allergic reaction which occurs in adults and children. Prompt diagnosis and appropriate acute medical management will prevent fatal anaphylactic

Abstract Diabetic ketoacidosis is a life-threatening medical emergency which requires prompt diagnosis and treatment. Understanding the mechanism by which lack of insulin causes dehydration and acidosis

Abstract Endocrine emergencies are uncommon and require a high index of suspicion if they are to be managed appropriately. This is especially pertinent to physicians accepting emergency admissions to

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