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Rhesus Disease Prophylaxis

There are three pregnant patients in the department who require consideration of Rhesus status and anti-D immunoglobulin. You have been asked to assess each in turn.

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Heat Illness

A drowsy marathon runner presents after training in the sun, with a significantly raised temperature and dry skin too hot to touch.

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Dissecting a Collapse

A 77-year-old diabetic man presents with chest pain followed by presyncope. He is hypotensive with pulse deficits and hemopericardium. CT confirms DeBakey type I aortic dissection requiring urgent surgery.

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Heat Stroke

An elderly lady gardening in the hot summer sun becomes unwell soon after midday.
How will you manage her heat stroke?

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When CT doesn’t compute

Elderly woman with sudden hip pain and inability to weight-bear. Negative CT, but MRI reveals occult sub-capital fracture. Diagnostic uncertainty in the ED.

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Burning Questions: Acid Attack

A teenager presents to your emergency department after a suspected acid attack sustained near their school. They are distressed with severe burning pain, facial and upper body chemical burns and contaminated clothing.

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Why Acidosis Persists

Persistent acidosis after DKA resolution should prompt evaluation for additional causes, including renal tubular acidosis.

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