Clinical Case Simulations

A 19-year-old Student with Fever, Headache, Neck Stiffness and a Spreading Non-blanching Rash

Presenting complaint: Fever, headache, neck stiffness, and a spreading non-blanching rash

A 34-year-old man found unresponsive with pinpoint pupils and a respiratory rate of 6

Presenting complaint: Found unresponsive with pinpoint pupils and respiratory rate of 6

A 34-year-old man with six weeks of cough and haemoptysis

Presenting complaint: Six weeks of cough, night sweats, weight loss and haemoptysis

A 38-Year-Old Man with Ascending Weakness and Breathlessness

Presenting complaint: Two days of progressive ascending weakness and breathlessness on lying flat.

A 6-week-old with fever and bulging fontanelle: a case of bacterial meningitis

Presenting complaint: Fever, poor feeding, high-pitched cry, and bulging fontanelle

A 62-year-old man with tearing interscapular pain and hypertension

Presenting complaint: Tearing interscapular pain

A 63-year-old man with haematemesis and melaena

Presenting complaint: Haematemesis and melaena

A 70-Year-Old Woman with Atrial Fibrillation and a Cold, Pale, Painful Leg

Presenting complaint: Suddenly cold, painful, pale left leg

A Warfarinised Elderly Man with a Fall: A Case of Fractured Neck of Femur

Presenting complaint: Shortened, externally rotated left leg after a fall at home

Acute Asthma Exacerbation in a Child: A Case in Emergency Medicine

Presenting complaint: Worsening cough and shortness of breath for 2 days

Acute Kidney Injury in an Older Patient with Diarrhoea

Presenting complaint: Diarrhoea and weakness

Acute Psychosis in a Young Man: Assessment and Immediate Management

Presenting complaint: Brought in by police with paranoid delusions, auditory hallucinations and agitation

Acute Pulmonary Oedema: A 74-Year-Old Woman in the ED

Presenting complaint: Acute breathlessness

Acute Stroke Thrombolysis and Thrombectomy Decision

Presenting complaint: Sudden right-sided weakness and aphasia for 90 minutes

Bronchiolitis in a 4-month-old with hypoxia

Presenting complaint: Three days of coryza, now feeding poorly, with intercostal recession, respiratory rate 68 and saturations 89%.

Colicky Pain and Vomiting in a 76-Year-Old Woman

Presenting complaint: Colicky abdominal pain, vomiting, abdominal distension, and no flatus for 2 days.

Complete Heart Block in an 80-Year-Old on Digoxin and Bisoprolol

Presenting complaint: Recurrent syncope

Confusion and Severe Hyponatraemia in a Man with Small Cell Lung Cancer

Presenting complaint: Progressive confusion, serum sodium 118 mmol/L

Crushing Chest Pain: An Anterior ST-Elevation Myocardial Infarction in a 58-Year-Old Man

Presenting complaint: Crushing central chest pain for 40 minutes

Dehydration in a 2-year-old with vomiting and diarrhoea

Presenting complaint: Two days of vomiting and diarrhoea

Delirium on the Acute Medical Unit: An Elderly Woman with a Urinary Tract Infection

Presenting complaint: New confusion and agitation

Dengue Fever with Warning Signs: Critical Phase Management

Presenting complaint: Day 5 fever with abdominal pain and persistent vomiting

Diabetes Ketoacidosis in a Young Adult with Type 1 Diabetes

Presenting complaint: Vomiting and abdominal pain for 12 hours

Diabetic Foot Infection with Sepsis: A 60-Year-Old Man

Presenting complaint: Fever and hot, red, swollen right foot with a malodorous ulcer

Drowsy COPD Exacerbation: A Clinical Case

Presenting complaint: Increasing breathlessness and drowsiness for 24 hours

Febrile Neutropenia in a Breast Cancer Patient: A Case Study

Presenting complaint: Fever and feeling unwell ten days after chemotherapy

Fever and Seizure in an 18-Month-Old

Presenting complaint: Fever and seizure

Giant Cell Arteritis with Visual Symptoms: An Emergency

Presenting complaint: Two-week temporal headache, jaw claudication, scalp tenderness, and transient loss of vision in the left eye this morning.

Hypercalcaemia in Breast Cancer: A 66-Year-Old Woman

Presenting complaint: Confusion, constipation, polyuria

Hyperosmolar Hyperglycaemic State: An 81-Year-Old Woman with Profound Dehydration

Presenting complaint: Progressive drowsiness and polyuria for 2 days

Jaundice in a 3-Day-Old Term Breastfed Baby: Assessment and Management

Presenting complaint: Visible jaundice to the abdomen, transcutaneous bilirubin above phototherapy threshold.

Lithium Toxicity and ACE Inhibitor Interaction

Presenting complaint: Tremor, ataxia, confusion and vomiting

Managing Acute Variceal Haemorrhage in a Patient with Alcohol-Related Cirrhosis

Presenting complaint: Vomiting fresh blood, jaundiced and confused

Massive Pulmonary Embolism in a Postoperative Patient

Presenting complaint: Sudden breathlessness and dizziness three weeks after knee replacement

Migrating Pain in a Young Man: Acute Appendicitis

Presenting complaint: 24 hours of periumbilical pain migrating to the right iliac fossa

Paracetamol Overdose in a Young Woman: A Clinical Case

Presenting complaint: Took 30 paracetamol tablets 6 hours ago

Rapidly Spreading Leg Cellulitis or Necrotising Fasciitis?

Presenting complaint: Rapidly spreading right leg swelling with severe pain

Ruptured Ectopic Pregnancy: A Case of Shock and Shoulder-Tip Pain

Presenting complaint: Right iliac fossa pain, shoulder-tip pain, light-headedness

Septic Shock from Community-Acquired Pneumonia

Presenting complaint: Fever, productive cough, and worsening breathlessness for 3 days

Severe Acute Pancreatitis: A 44-Year-Old Woman

Presenting complaint: Severe epigastric pain radiating to the back, vomiting.

Severe Community-Acquired Pneumonia: A 55-Year-Old Smoker

Presenting complaint: Fever and productive cough for 3 days

Severe Falciparum Malaria in a Returning Traveller

Presenting complaint: Fever, rigors, and jaundice for three days

Severe Pain in Sickle Cell Disease: Acute Chest Syndrome

Presenting complaint: Severe limb and back pain

Severe Pre-eclampsia: A Case of Headache and Hypertension in Pregnancy

Presenting complaint: Headache and visual disturbance at 34 weeks gestation

Status Epilepticus in a Young Adult with Missed Antiepileptic Doses

Presenting complaint: Generalized tonic-clonic seizure for 12 minutes after missing medication doses

Tension Pneumothorax after Motorcycle Collision

Presenting complaint: Severe breathlessness after motorcycle collision with deviated trachea and absent left breath sounds.

Thunderclap Headache: A Case of Subarachnoid Hemorrhage

Presenting complaint: Thunderclap headache during exercise, now with neck stiffness and photophobia

Thyroid Storm: A Case of Graves' Disease and Chest Infection

Presenting complaint: Fever, palpitations, agitation, and vomiting

Unstable Atrial Fibrillation: Rapid Decision-Making

Presenting complaint: Chest pain and palpitations