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.…

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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 …

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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…

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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?…

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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…

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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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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?…

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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…

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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…

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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…

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