We at TERN Education are keen to help you all learn how to critically appraise a paper. In order to do this we will be producing monthly ‘virtual’ journal club modules on RCEM Learning. It…
Cranial Nerves One to Six
Cranial nerve injuries are important clinical signs, which alert the examiner to intracranial pathology. This session will look at the more common traumatic and medical causes of cranial nerve injury…
Giant Headache!!!
A 69-year-old lady presents with a 3-week history of right sided headache and jaw claudication, associated with significant reduction in vision of the right eye for 2 days.…
Texting Trouble
A healthy 25-year-old presents to the emergency department complaining she cannot text on her phone…
Secondary Headache
This session will focus on secondary causes of acute severe headaches that are likely to present to an emergency department.…
Bubbles on the Brain
A 34-year-old female presented to the emergency department with a 3-day history of left ear pain, without discharge or tinnitus.…
Blinding Headache
A 35-year-old presents with right sided headache, photophobia and vomiting progressing to left homonymous hemianopia and left sided numbness.…
Doc, my head hurts
A 42-year-old man presents to the Emergency Department at 4am with a severe headache. He is pacing up and down and says that he has been woken up by a similar headache every night for the last 4 night…
Do unequal pupils always indicate significant pathology?
A 31-year-old female presented to the emergency department complaining of a dilated left pupil that had been noticed by a colleague at work.…
Working from home
It is a busy winter evening in the Emergency Department. The next patient to be seen is a 37-year-old female presenting with a headache, nausea and general malaise.…
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…
You can’t see my hand?
21-year-old female with headache and visual disturbances…
Headache – Induction module
This is a hugely common presentation in the ED and often one many doctors try to avoid…
Intracranial Infections
CNS infections are relatively rare, but form a very important differential diagnosis in the unwell patient presenting to the ED.…
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…
What a headache?!
A 38-year-old fit and well female who is 29 weeks pregnant attends with a sudden onset of worsening, retro-orbital headache…
Raised intracranial pressure?
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.…