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Under Pressure

A 59-year-old man presented to Emergency department at 11pm with acute onset severe (9/10) generalised headache and vomiting which started at the dinner table at 5pm…

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Connect the Dots

A 77-year-old gentleman presents to the ED five days after his endoscopic endonasal transsphenoid resection of his pituitary adenoma with a severe frontal headache, fever and multiple episodes of vomi…

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Lemons and Lymes

In late June, whilst on a school trip visiting a local nature reserve centre, a group of children were having a picnic and drinking lemonade after their play time.…

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Primary Headache

Acute, severe headache is a common symptom of patients presenting to the emergency department. In 90% of cases, the cause will be one of the primary headache syndromes.…

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Phaeochromocytoma

The spontaneous presentation of phaeochromocytoma is normally between the age of 40 and 50 years, however the hereditary forms often present in younger individuals, including children.…

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Cervical Artery Dissection

This session reviews the clinical presentation and investigation of cervical artery dissection. The clinician needs a high level of suspicion to make this diagnosis accurately…

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Intracranial Infections

Intracranial infections (also called central nervous system infections or CNS infections) are relatively rare, but form a very important differential diagnosis in the unwell patient…

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