Radiation exposure and contamination

A 30-year-old forklift driver ruptures a source of radioactive caesium chloride while unloading brachytherapy equipment and attempts to clean up …

2024 Term 1 Wk 10 Archived
Altitude illness and HAPE

You are the expedition doctor for a tour group of adults completing a 3-week trek in the Nepalese Himalayas. The …

2024 Term 1 Wk 10 Archived
Physiologically difficult intubation

A 45-year-old male hasjust arrived in your resus bay. He has been transferred by ambulance from a rural hospital for …

2024 Term 1 Wk 8 Archived
RSI in morbid obesity

A 32-year-old man with pneumonia requires intubation. He is morbidly obese with BMI 42, actual weight 130 kg and ideal …

2024 Term 1 Wk 8 Archived
Ludwig’s angina

A 50-year-old man presents to ED two days post dental extraction with pain on swallowing.

2024 Term 1 Wk 8 Archived
Acute spinal cord injury and intubation

A 28-year-old man is brought to ED following a rugby match with concern for cervical spine injury. He is unable …

2024 Term 1 Wk 8 Archived
Painful facial rash

An elderly woman presents with a painful unilateral facial rash involving the upper face and eye.

2024 Term 1 Wk 6 Archived
Haematemesis

A 60-year-old man has presented to your ED with a history of haematemesis. He is a chronic alcoholic. Vitals are …

2024 Term 1 Wk 6 Archived
Arm injury

A 35-year-old man presents with a painful right arm after falling from a jet ski.

2024 Term 1 Wk 6 Archived
Carotid artery dissection

A 34-year-old man presents with sudden onset left-sided neck pain and headache after carrying his child on his shoulders. On …

2024 Term 1 Wk 6 Archived
Pancytopenia and transfusion reactions

A 77-year-old male presents with lower back pain after a recent minor trip. He has a normal lower limb neurological …

2024 Term 1 Wk 5 Archived
Superior vena cava syndrome

A 76-year-old male has been referred to ED by his GP with concern for a 6cm occlusive SVC thrombus on …

2024 Term 1 Wk 5 Archived
Acute ischaemic stroke and thrombolysis

A 79-year-old man is brough to ED with a stroke. He has R-sided hemiplegia (arm worse than leg), eyes deviated …

2024 Term 1 Wk 5 Archived
Pituitary apoplexy

A 50-year-old man with a history of pituitary adenoma presents with severe headache, nausea and vomiting. Vitals: HR 120 BP …

2024 Term 1 Wk 5 Archived
Erythema multiforme and SJS/TEN

A 25-year-old woman presents with a widespread rash after starting penicillin V one week ago. She has mucosal involvement.

2024 Term 1 Wk 4 Archived
Rash after bushwalking

A 53-year-old man presents to a rural ED feeling unwell after bushwalking. He has noticed a painless rash on his …

2024 Term 1 Wk 4 Archived
Hot swollen ankle

A 55-year-old man presents with acute atraumatic ankle pain and a low-grade fever.

2024 Term 1 Wk 4 Archived
Advanced HIV with fever and cough

A 45-year-old man known to be HIV positive presents with fever, non-productive cough, weight loss and mild confusion. Vitals: HR …

2024 Term 1 Wk 4 Archived
Major burns and inhalation injury

A 45-year-old woman is brought to the ED after extrication from a house fire with significant burns and smoke exposure.

2024 Term 1 Wk 3 Archived
Trauma in pregnancy

A 29-year-old woman at 33 weeks gestation presents following an MVA (car vs tree at 50 km/h). She was restrained …

2024 Term 1 Wk 3 Archived
Paediatric penetrating trauma cardiac arrest

An 8-year-old boy has been crushed by shelving while playing in a shed. During extrication a piece of metal penetrated …

2024 Term 1 Wk 3 Archived
Blunt chest trauma with shock

A 46-year-old man is brought to the resuscitation bay following a 3-metre fall from a work platform onto a horizontal …

2024 Term 1 Wk 3 Archived
Trimalleolar ankle fracture-dislocation

A 65-year-old woman presents after slipping on a wet floor and is unable to weight-bear on her left ankle. X-rays …

2024 Term 1 Wk 2 Archived
Shoulder dislocation

A 45-year-old man presents after a fall with an abnormal shoulder position. Clinical images and X-rays are provided.

2024 Term 1 Wk 2 Archived