Authors: Eleanor Nash, Samantha Mills / Editor: Nick Tilbury / Reviewer: Eleanor Nash / Codes: EnP1, RP7, SLO1, SLO3 / Published: 12/10/2023
A 30-year-old female attended the Emergency Department (ED), presenting with vomiting, general all over body weakness and an appearance of a ‘dying swan’. She was unable to engage with questions well, responding slowly, appeared breathless and said she felt unable to walk or move.
On presentation she was haemodynamically stable, with a slight tachycardia. Examination in the Emergency Department returned normal findings; chest auscultation was clear with a normal respiration rate. There had been no physical trauma.
The patient has taken her regular medications of prednisolone 10mg OD.
Module Content
The Dying Patient
This session explores how to recognise patient trajectories as they approach the end of their lives, as well as the diagnosis of dying.
Dying Matters in the ED
Working in the ED probably exposes us to a considerable amount of death and dying. From the unexpected cardiac arrest or trauma patient, through to the expected death of a patient with a terminal prognosis
Myasthenia Gravis
Myasthenia gravis does not present often to the Emergency Department. However, it can manifest as respiratory failure
Clinically important case , not to miss
Good review
good review
good review
Interesting case, good for learning
Great brief update/challenge
very good case
Great refresher of Addisonian Crisis
nice case to remind us with Adissonian crisis