This new addition to the popular 100 cases series explores common clinical scenarios that will be encountered by the medical student and junior doctor during practical training in the emergency department, in the community and in intensive and critical care settings, and which are likely to feature in qualifying examinations. The book covers a broad range of presentations, organized by sub-specialty area for ease of reference. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur when practising emergency and critical care medicine at all levels.

Table of Contents

• Contributors
• Introduction
• Critical Care
• Case 1: Respiratory distress in a tracheostomy patient
• Case 2: Nutrition
• Case 3: Shortness of breath and painful swallowing
• Case 4: Collapse while hiking
• Case 5: Fever, headache and a rash
• Case 6: Nausea and vomiting in a diabetic
• Case 7: Stung by a bee
• Case 8: A bad chest infection
• Case 9: Head-on motor vehicle collision
• Case 10: Intravenous fluid resuscitation
• Case 11: Found unconscious in a house fire
• Case 12: Painful, Spreading Rash
• Case 13: Submersion
• Case 14: Crushing central chest pain
• Internal Medicine
• Case 15: Short of breath and tight in the chest
• Case 16: A productive cough
• Case 17: A Collapse at Work
• Case 18: Dysuria and weakness
• Case 19: Leg swelling, shortness of breath and weight gain
• Case 20: Chest pain in a patient with sickle cell anaemia
• Case 21: Fever, Rash and Weakness
• Case 22: Rectal bleeding with a high INR
• Case 23: Back Pain, Weakness and Unsteadiness
• Case 24: Feeling unwell while on chemotherapy
• Case 25: Productive cough and shortness of breath
• Case 26: Vomiting, Abdominal Pain and Feeling Faint
• Case 27: Seizure and urinary incontinence
• Case 28: Chest pain in a young woman
• Case 29: Faint in an elderly woman
• Case 30: An abnormal ECG
• Case 31: Fever in a returning traveller
• Case 32: Loose stool in the returned traveller
• Mental Health and Overdose
• Case 33: Unconscious John Doe
• Case 34: An unresponsive teenager
• Case 35: Deteriorating overdose
• Case 36: Attempted suicide
• Neurology and Neurosurgery
• Case 37: Back pain at the gym
• Case 38: Passed Out During Boxing
• Case 39: Headache, Vomiting and Confusion
• Case 40: Motor vehicle accident
• Case 41: Slurred speech and weakness
• Case 42: A sudden fall while cooking
• Case 43: Neck pain after a road traffic accident
• Trauma and Orthopaedics
• Case 44: My back hurts
• Case 45: My shoulder popped out
• Case 46: Fall on the bus
• Case 47: Motorbike RTC
• Case 48: Fall onto outstretched hand (FOOSH)
• Case 49: Painful hand after a night out
• Case 50: Cat bite
• Case 51: Pelvic injury in a motorcycle accident
• Case 52: Unable to Stand after a Fall
• Case 53: Twisted my knee skiing
• Case 54: Fall in a shop
• Case 55: I hurt my ankle on the dance floor
• Case 56: Fall whilst walking the dog
• General Surgery and Urology
• Case 57: Upper abdominal pain
• Case 58: Gripping abdominal pain and vomiting
• Case 59: My ribs hurt
• Case 60: Severe epigastric pain
• Case 61: Left iliac fossa pain with fever
• Case 62: Acute severe leg pain
• Case 63: Abdominal pain and nausea
• Case 64: Epigastric pain and nausea
• Case 65: A 68-year-old man with loin to groin pain
• Case 66: Right flank pain moving to the groin
• Case 67: Testicular pain after playing football
• ENT, Ophthalmology and Maxillofacial Surgery
• Case 68: Recurrent nosebleeds in a child
• Case 69: Worsening Ear Pain
• Case 70: Chicken bone impaction
• Case 71: Ear pain with discharge and facial weakness
• Case 72: Post-tonsillectomy bleed
• Case 73: A swollen eyelid
• Case 74: Red eye and photosensitivity
• Case 75: Painful red eye
• Case 76: Visual loss with orbital trauma
• Case 77: Difficulty opening the mouth
• Paediatrics
• Case 78: cough and difficulty breathing in an infant
• Case 79: A Child with stridor and a barking cough
• Case 80: A child with fever of unknown origin
• Case 81: My son has the ‘runs’
• Case 82: A child with lower abdominal pain
• Case 83: A child acutely short of breath
• Case 84: A child with difficulty feeding
• Case 85: A child with head injury
• Case 86: The child with prolonged cough and vomiting
• Case 87: A child with a prolonged fit
• Obstetrics and Gynaecology
• Case 88: Vomiting in pregnancy
• Case 89: Abdominal pain in early pregnancy
• Case 90: Bleeding in early pregnancy
• Case 91: Pelvic pain
• Case 92: Abdominal pain and vaginal discharge
• Case 93: Vulval swelling
• Case 94: Fertility associated problems
• Case 95: Headache in pregnancy
• Case 96: Breathlessness in pregnancy
• Case 97: Postpartum palpitations
• Medicolegal
• Case 98: Consenting a patient in the ED
• Case 99: A missed fracture
• Case 100: A serious prescription error
• Appendix: Laboratory test normal values