RCEMLearning

UPDATE: A 68-year-old lady was working outdoors, gardening during a hot summers’ day. She started having leg cramps and felt light-headed with a headache.



https://www.rcemlearning.co.uk/modules/heat-stroke/

UPDATE: If I mention scurvy to most people, they think of sea dogs, and Pirates, and archaic health complaints. But we’re starting to diagnose it more often

https://www.rcemlearning.co.uk/foamed/scurvy/

SUNDAY QUESTION

A 5-year-old attends with a sore arm. You suspect a nursemaid’s elbow. Which is the best method for reducing this dislocation?

a). Apply broad arm sling and review in 48 hours
b). Flex and supinate the forearm
c). Open reduction in theatre
d). Pronate and flex the forearm

NEW: Elderly woman with sudden hip pain and inability to weight-bear. Negative CT, but MRI reveals occult sub-capital fracture. Diagnostic uncertainty in the ED.

https://www.rcemlearning.co.uk/modules/when-ct-doesnt-compute/

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NEW: A teenager presents to your emergency department after a suspected acid attack sustained near their school. They are distressed with severe burning pain, facial and upper body chemical burns and contaminated clothing

https://www.rcemlearning.co.uk/modules/burning-questions-acid-attack/
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UPDATE: Our hands are important. The sensory information they collect and their ability to co-ordinate complex movements allow us to explore and physically interact with our environment.

https://www.rcemlearning.co.uk/foamed/minor-injuries-wrist-injuries/

SUNDAY QUESTION:

What diagnosis are you most concerned with here?
a). Gastroenteritis
b). Intestinal malrotation
c). Intussusception
d). Strangulated umbilical hernia

UPDATE: Sometimes as a doctor it can feel as though everyone has ‘sepsis’ and the term is often bandied about. But this is with good reason. Sepsis is a killer

https://www.rcemlearning.co.uk/modules/sepsis-induction/

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NEW: A 45-year-old man presents with a three-day history of abdominal pain, repeated episodes of vomiting (more than six episodes) and progressively worsening shortness of breath.

What is the diagnosis?
https://www.rcemlearning.co.uk/modules/why-acidosis-persists/

NEW: A tall, thin 19-year-old man presents with sudden onset of sharp, stabbing bilateral chest pain, worse on inspiration and most severe under the left scapula. This is associated with breathlessness on exertion.

https://www.rcemlearning.co.uk/modules/chest-pain-and-sob/
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