Case 1

An 81-year-old priest attends his GP complaining of right testicular and right iliac fossa discomfort. Examination of the testicle is normal but he has an apparent vaso-vagal episode and is sent to the ED. Shortly after arrival, he becomes unresponsive, with BP and sO₂ unrecordable, pulse 110, RR 8 (gasping).

Select the most likely diagnosis from the list given.

A 16-year-old student has a one week history of increasing lethargy followed by diarrhoea, vomiting and generalised abdominal pain. He presents with GCS E3, M6, V4. His BP is 80/56, HR 130, RR 35, sO₂ (on air) 100%.

Select the most likely diagnosis from the list given.

A 14-year-old student presents with a one day history of right iliac fossa pain. She collapsed at school today and has been brought by ambulance. HR 140, BP 70/48, RR 32, sO₂ (on oxygen) 100%.

Select the most likely diagnosis from the list given.

A 22-year-old mechanic has been assaulted at work. He has been hit around the head and body with a spanner. He collapsed about 4 hours later after complaining of pain in the central and left chest. HR 138, BP 74/56, RR 30, sO₂ (on oxygen) 90%.

Select the most likely diagnosis from the list given.

A 28-year-old motocross enthusiast collapses at work with pain in the lower left chest and left flank. History is unremarkable apart from coming off his motocross bike in a race 6 days ago. HR 142, BP 78/52, RR 32, sO₂ (on oxygen) 94%.

Select the most likely diagnosis from the list given.

A 54-year-old lawyer has been unwell for 2 weeks with increasing shortness of breath, cough, intermittent pleuritic chest pain and a mild fever. For the last 2 days he has been in bed. He collapsed on the way to the toilet. HR 120 BP 90/40, RR 25, sO2 (on air) 93%.

Select the most likely diagnosis from the list given.

A 63-year-old woman collapses in the shower one morning. On arrival she is complaining of central chest heaviness, and abdominal pain with frequent loose bowel motions. She has generalised erythema. ECG shows ST depression in the lateral chest leads. HR 124, BP 85/48, RR 22, sO₂ (on oxygen) 100%.

Select the most likely diagnosis from the list given.

A 17-year-old girl presents having collapsed at home. She scalded her leg a week ago and felt ‘fluey’ this morning and has had loose watery diarrhoea much of the day. She has generalised erythema. HR 138, BP 74/50, RR 30, sO₂ (on oxygen) 96%.

Select the most likely diagnosis from the list given.