Picture quizzes
Transient respiratory distress and difficulty passing a nasogastric tube in a newborn baby
A baby was born at 30 weeks and 5 days’ gestation, by emergency caesarean section after onset of labour. It was a twin pregnancy, with an antenatal history of polyhydramnios… Read this article >>
Recognising the deteriorating patient
A 75 year old man is admitted to hospital with severe chest pain. The figure shows his observation chart. Observation chart of patient with severe chest infection Questions 1 What is the first sign o… Read this article >>
Beware the sarcoma
Six weeks previously a 67 year old man had undergone an unplanned excision of a presumed benign lipoma. During the surgery a lesion the size of a cricket ball was located just below his right scapula and removed. The lump had been increasing in size over a period of 18 months and was pai… Read this article >>
Ear discharge and hearing loss in an elderly woman
A 78 year old woman was referred by her general practitioner to the outpatient ear, nose, and throat clinic with a three week history of a discharging right ear (otorrhoea). She had difficulty hearing in both ears and normally used a hearing aid in her … Read this article >>
Acute abdominal pain in a boy with cystic fibrosis
A 10 year old boy presented to the emergency department with a 24 hour history of abdominal pain in a colicky pattern; nausea; and bilious and faecal vomiting. His history included well controlled cystic fibrosis with pancreatic insufficiency and a meco… Read this article >>