A 40-year-old man is brought to the ED by his partner. He has had a gradually worsening headache for 10 days and intermittent vomiting for 3 days…
Fishing for a diagnosis
A keen fisherman attends following a flu-like illness. He has a small head wound and is now jaundiced. One sign brings it all together, can you spot it?…
Eye am under pressure
A 60-year-old woman presents with eye pain and visual disturbance. She vomits just as you call her in for assessment.…
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…
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…
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.…
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.…
FRCEM Primary Paper 2
FRCEM Primary Examination Single Best Answer Three hours…
You think I am faking my headache?
A 27 year old female has presented with recurrent headaches, worse in the morning…
Under Pressure
A normally well man in his 50s presented with severe chest pain following vomiting…
An odd looking eye
Middle aged man with left sided headache and horners syndrome.…
Phaeochromocytoma
Phaeochromocytoma…
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.…
August 2018
August 2018 Podcast…
Induction – Headache
This is a hugely common presentation in the ED and often one many doctors try to avoid…
November 2017
The RCEMLearning podcast for November 2017…
Cervical artery dissection
The basic lesion in cervical artery dissection is an intramural haematoma in the vessel wall.…
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…
October 2017
The new podcast for October 2017…
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…