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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A Constant Cough

A 9 week old female infant presents to Paediatric A&E at 2200 hrs with a history of coughing, difficulty in breathing, lethargy and reduced feeding…

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Seeing red (flags)

A 56-year-old plumber presents to the ED with a 24-hour history of worsening lower back pain after lifting some heavy bags of cement…

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Boxing, and Facial Injuries

Last April saw the England Boxing National Amateur Championships held in Nottingham. As a member of the England Boxing Medical Committee I was invited to sit ringside for the tournament as the Ringsid…

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A Tired Heart

A 73-year-old gentleman with a background of heart failure, atrial fibrillation and severe aortic stenosis presents to your Emergency Department with shortness of breath…

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The Twitching Tot

The paramedics arrive with a 3-year-old boy who has had two seizures today. He has known developmental delay but has no history of seizures previously…

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Mini Mono

A 3-year-old girl presents to ED with a swollen left knee, limping. The swelling had started 9 days previously but had not initially caused any distress…

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