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Picture Quiz

Picture Quiz

Our case highlights an uncommon complication of nasogastric tube insertion. Enteral feeding plays an essential role in recovery from critical illness. Benefits include increasing blood flow to the gut,

A 51-year-old man who was normally fit and well, presented with a one-week history of fever, cough, shortness of breath, myalgia and diarrhoea. On examination he was febrile at 37.8°C, acutely short

Case Outcome

The patient was anti-coagulated with low molecular weight heparin and then warfarin. He was also commenced on a reducing course of prednisolone. Symptoms and signs resolved within two weeks,

A 40 year old previously fit bank executive of Cypriot origin presented to the acute medical take with insidious onset frontal and vertex headaches with features suggesting raised intracranial pressure.


Ventricular tachycardias represent an important cause of palpitations. The differentiation of “benign” or “idiopathic” ventricular tachycardias from those which require more aggressive

Case Report

A 52 year old woman presented to the Acute Medical Unit with her 4th episode of palpitations in the past four weeks. Each episode was similar in nature and described as being acute in onset,

Case Outcome:

Following review of the abdominal x-ray, an urgent CT aortogram was undertaken which showed an abdominal aortic aneurysm (AAA) measuring 13 cm in width and 18.9 cm in length (Figure 2

Case Report:

A 76 year old man presented to the emergency department with gradual onset abdominal pain over a period of 24 hours and generalised lethargy. The abdominal pain was central with no radiation

Case Outcome

The patient underwent transthoracic echocardiography which confirmed the presence of a calcified intracardiac mass in the right atrium, with significant tricuspid insufficiency and compression of

Case Report

A 42-year old man attended our emergency department with sudden onset of nausea, fever and cold sweats. In the days prior to presentation, he had developed a radiating pain in the thoracic