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Sugar lips, Stiff hips

An 81-year-old woman attends ED from a Nursing Home with a reduced GCS, tachycardia, tachypnoea, hypotension, hypothermia and hyperglycaemia.
A 46-year-old gentleman with a known history of alcohol dependence re-attends to the ED with a reduced GCS. Is he just drunk?
Nikki Abela and Liz Herrieven have treated themselves to the RCEM PEM Conference in Manchester on 21/3/2023 – World Down Syndrome Day. Put on your #LotsOfSocks for the day and have a read to see what they learned.
A 67-year-old lady presents to the ED with mild wheeze, frontal headache, fever and vomiting. She is hypotensive and tachycardic. You arrange to see her in Resus.
A 77-year-old gentleman presents to the ED five days after his endoscopic endonasal transsphenoid resection of his pituitary adenoma with a severe frontal headache, fever and multiple episodes of vomiting.
A 71-year-old female with recurrent dizzy episodes over the past 2 years.
A woman presents with 10/10 eye pain. Consider what could be going on, rule out the red flags and address her urgent concerns!
Hyperosmolar hyperglycaemic State is a common presentation to the ED which can mimic many other disease processes.
Hyperosmolar hyperglycaemic State is a common presentation to the ED which can mimic many other disease processes.
A 63-year-old female with a background of type I diabetes mellitus, chronic pancreatitis and COPD presents to the ED with confusion and hypoglycaemia.
A woman with diplopia needs your help. Can you identify the cause and include or exclude any red flags?
A lady presents with decompensated liver disease and the CT reveals more than just ascites and cirrhosis.