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Syncope with Arm Exercise

Sudden onset of neurological symptoms after exertion, accompanied by vacant episodes that were triggered by movement of the arm due to steno occlusive disease in the subclavian artery, proximal to the origin of the ipsilateral vertebral artery.

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Sweet and Salty

Hyperglycaemic hyperosmolar state is a medical emergency and is different from DKA and as such its treatment requires a different approach.

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A Droopy Eye

A man in his thirties presents to the ED after being instructed to do so by an optician, suspecting a stroke.

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A Complex Wound

This SBA addresses an important time-critical complication of wound infection where early diagnosis and management can save a patient’s limb.

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PUMP it up

A 35-year-old male presents with central non radiating chest pain with ECG changes and a blood pressure of 241/179mmHg.

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When the Well Runs Dry

An 80-year-old woman arrives after an unwitnessed fall, uninjured but profoundly unwell – dizzy, fatigued, and oliguric. Could this be the tip of a multifactorial medical iceberg?

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Ovarian Hyperstimulation Syndrome

Authors: Thomas Mac Mahon / Editors: Frances Balmer / Codes: / Published: 04/04/2025 Introduction Context Ovarian hyperstimulation syndrome (OHSS) is a complication of fertility treatment as outlined in the Royal College of Obstetricians and Gynaecologists’ Green-top guideline.1 OHSS is usually mild, self-limiting and does not require emergency department review. However severe or critical OHSS has significant associated […]

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Think: Screen the Spleen

A 75-year-old female with no significant past medical history
presents to the ED with sudden onset of sharp left upper
quadrant pain.

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