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Picture Quiz

Picture Quiz

A previously fit and healthy 57 year old gentleman presented to hospital 2 weeks after a previous admission with acute severe headache. At the time of his previous admission the

The case:

A 58 year old man was brought to the emergency department with acute confusion after being found unconscious on his floor at home. He had a background of alcohol misuse with alcoholic liver disease.

This T2 weighted MRI scan demonstrates a hyperintense trident shaped lesion extending from the pontomedullary junction to the midbrain with peripheral sparing (figure 2 – abnormality indicated by

A 57-year-old man was admitted to the Acute Medical Unit with an episode of collapse following chest pain and shortness of breath. On examination he was tachycardic, and tachypnoeic with a heart rate

Case Summary

A 16 year old female was admitted with a one week history of headache and swelling of both upper eyelids. Other symptoms included nausea, tiredness, dizziness and photophobia with no symptoms

Case Outcome

Urgent Duplex ultrasound demonstrated ilio-femoral deep vein thrombosis (DVT) with involvement of the long saphenous and short saphenous superficial veins. Arterial Doppler waveforms were

Case History

A 55 year old male presented to the Acute Medical Unit with a one hour history of pain and swelling of his right leg with resultant inability to weight bear. He denied any preceding history

Case history

A 52-year old gentleman was referred to acute medicine by an out-of-hours general practitioner, with an unexplained ‘collapse’. The patient stated to have just ‘tripped and fallen’


There is no ‘gold standard’ non-invasive test to diagnose myocarditis. It is a clinico-histopathological diagnosis.1 Clinical manifestations include: heart failure, chest pain (from either

Case report

A 28 year old gentleman presented after an episode of collapse with loss of consciousness.

He gave a history of non-specific malaise and myalgia over the previous 7 days, with fever, a generalised