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.…
Cranial Nerves Seven to Twelve
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 …
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…
A Genuine Case of ‘Off Legs’
A 30-year-old lady presents to the ED feeling “numb from the waist down”.…
Keeled Over Kid
A young girl collapses suddenly at school and presents to your ED with an altered level of consciousness – what could have happened?…
You can’t see my hand?
21-year-old female with headache and visual disturbances…
August 2020
This month we have 2 sections. Part 1 we discuss Timing of endoscopy, New in EM Haloperidol for migraine, New in EM Drugs v DCC in A Fib. Part 2 we discuss the RCEM guideline on suspected internal dr…
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…
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?…
Dazed and Confused
An 8-year-old girl was brought into the ED with a head injury. She had been out sledging with her family when she lost control and collided with a tree…
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…
Eye don’t know…
A woman presents with an unusual cause of ophthalmic symptoms.…
Black & Blue
The unspoken disease of inflicted, non-accidental injury in children.…
Lemons and Lymes
What went wrong for a child who picked up Lymes’ instead of limes?…
Doin’ the tack shed blues
A 4 year old boy is brought to your Emergency Department by his parents one evening. Two hours previously he had been on the back of a horse being lead from the field to the tack room before going out…
March 2019
March 2019 Podcast…
FRCEM Primary Paper 2
FRCEM Primary Examination Single Best Answer…