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Clinical Cases

Welcome to the Life in the Fast lane clinical case collection…

We have gathered over 200 clinical cases in question and answer format and alliterated their titles for your literary pleasure. Use the ‘column sort‘ option or the ‘search‘ box to find clinical cases to test your knowledge

Also check out additional clinical cases such as

TopicTitle / KeywordsLITFL Link
AnestheticPediatric Procedural Sedation, Ketamine, Anaesthesia, Pain, laryngospasmAddler 001
Bone and JointCompound ankle fracture dislocationBamboozler 001
CardiologyBroken-Hearted Chest Drain, Intercostal Tube vs Left VentricleCurveball 001
DermatologyStaphylococcal toxic shock syndromeDilemma 001
DislocationsIsolated Volar Distal Ulnar DislocationDislocation 001
ECGAn Electrocardiographic ExigencyExigency 001
ENTNasty Sore Throat, retropharngeal abscessEquivocation 001
EnvironmentalExercise-Associated HyponatremiaEnigma 001
GastrointestinalGastroenterology, GI surgery, Hepatobiliary disease, Nutrition, Epiploic appendagitisGutwrencher 001
HaematologyDealing with D-dimer debaclesHoodwinker 001
ImmunologyTraumatic angioedemaDiscombobulation 001
LaboratoryHAGMA, LTKR, CATMUDPILESTester 001
MetabolicHyperammonaemia, ammoniaMuddle 001
MicrobialInfectious disease, Neurology, Meningococcal meningitisMystery 001
MinorSubungual Haematoma, procedure, hematoma, nail, drainageInjury 001
NeurologyHIV brain massMind-boggler 001
ObstetricAn Obstetric BleederObfuscation 001
OncologyLung metastasis from the hip, Hemithoracic ‰Û÷white-out‰Ûª, small blue round cell tumourQuandary 001
OphthalmologyBefuddling Pupillary Asymmetry, anisocoria, prosthesis, prosthetic eye, Holmes-Adie pupil, miosis, mydriasisCase 001
Own ITOwn the EchoOwn It 001
PediatricHyperammoniacal Encephalopathy, Reye syndrome, encephalopathy, hyperammonemiaPerplexity 001
PulmonaryInfluenza (swine-origin H1N1 2009)Puzzler 001
RenalAAA, Aortic aneurysm, rhabdomyolysisRiddle 001
ResuscitationHe Simply Looks SickResus 001
To ErrEntrapment, Patient Safety, Decision-making, Medical ErrorError 001
ToxicologyToxicology, toxinology, envenoming, overdose, poisoning, clinical casesConundrums
TraumaRight Main Bronchus ToothTribulation 001
TropicalFever, Rash and a Vuvuzela, measlesTroubles 001
UrineOrange urine, rifampicinUnusual 001 001
Bone and JointMuscular Claustrophobia, compartment syndrome, fracture tibiaBamboozler 002
CardiologySudden Onset Blue Leg, Phlegmasia Cerulea DolensCurveball 002
DislocationsPosterior Shoulder DislocationDislocation 002
ECGPain Free And In VT?Exigency 002
ENTMy Throat Hurts, inflamed pharynx with enlarged tonsils and prominent exudateEquivocation 002
EnvironmentalHigh Altitude IllnessEnigma 002
GastrointestinalGut ache or Gordian knot, Small bowel obstruction, paraduodenal internal herniaGutwrencher 002
HaematologyRecombinant Factor VIIa to the rescueHoodwinker 002
ImmunologySulfa Drug DiscombobulationDiscombobulation 002
MetabolicWaxing and Waning Weakness, Hypokalemic periodic paralysisMuddle 002
MicrobialInfectious disease, Respiratory, Pneumococcal pneumoniaMystery 002
MinorHead Injury, trauma, concussionInjury 002
NeurologyComa with small pupilsMind-boggler 002
OphthalmologyThe Red Eye Challenge, red eye, iritis, conjunctivitis, eyelid disease, glaucoma, keratitis, uveititis, corneal abrasion, corneal foreign bodyCase 002
Own ITOwn the Airway
PediatricHemolysis and renal failure in a toddler, atypical, hemolytic uremic syndrome, hemolysis, renal failure, thrombocytopeniaPerplexity 002
PulmonaryPulmonary Embolism and Antiphospholipid SyndromePuzzler 002
To ErrAre you Satisficed,Error 002
TraumaBlood clot occluding right upper lobe bronchusTribulation 002
UrineGreen urine, creme de mintUnusual 002
Bone and JointTrauma, volar Barton fractureBamboozler 003
CardiologyCardiac Megacode, Cardiac arrest, R-on-T, HOCM and HypokalaemiaCurveball 003
DislocationsSternoclavicular Joint DislocationDislocation 003
ECGRisky RhythymsExigency 003
GastrointestinalA Lesson in History, hyperbilirubinemia, transaminitis, hepatocellular, hepatitic, khatGutwrencher 003
HaematologyManaging the Critical Bleeder, Massive TransfusionHoodwinker 003
ImmunologyPalpable purpura, rash, leukocytoclastic, WegenerDiscombobulation 003
LaboratorySeizures, hyponatremia and ADHTester 003
MetabolicMixed Metabolic Acidosis, CAT-MUDPILESMuddle 003
Microbialcommunity acquired pneumonia, CAPMystery 003
MinorBoxer fracture, 5th metacarpal, hand injuryInjury 003
NeurologyBrainstem lesions, Brainstem Rules of 4Mind-boggler 003
OncologyTesticular cancer, metastatic, cannon ball, metsQuandary 003
OphthalmologyAn Eyelid Lump, chalazion, hordeolum, stye, eyelid lumpCase 003
Own ITOwn the Wound
PediatricNewborn with Hypercyanotic Episodes, tetralogy, Fallot, tet spell, hypercyanotic episode, congenital, cyanosisPerplexity 003
PulmonaryRuptured OesophagusPuzzler 003
ResuscitationChoose Your Own Resus AdventureResus 003
TraumaTraumatic Brain InjuryTribulation 003
UrineGreen urine, Propofol Infusion SyndromeUnusual 003
Bone and JointBennett fracture, Edward Halloran Bennett, trauma, skier, fractureBamboozler 004
CardiologySomething‰Ûªs Not Right, Right-sided aortic archCurveball 004
Dislocationslunate dislocation with scaphoid fractureDislocation 004
ECGPuzzling Paroxysmal PalpitationsExigency 004
Laboratorymetabolic acidosis, HAGMA, Fulminant hepatic failureTester 004
MetabolicPyroglutamic acidosis, raised anion gap, HAGMA, 5-oxoprolinemiaMuddle 004
MicrobialEscaping bugs, ESCAPPM, infection, pyelonephritisMystery 004
Minortooth avulsion, teeth, socket, traumaInjury 004
NeurologyBrainstem lesions, Brainstem Rules of 4Mind-boggler 004
OncologyOvarian cancer, re-expansion pulmonary oedema, Meigs syndromeQuandary 004
OphthalmologyThe Man Who Blinked Too Much, blinking, blepharospasmCase 004
Own ITOwn the ECMO
PediatricTime to tighten those sphincters, airway obstruction, inhalational induction, difficult airway, stridor, croupPerplexity 004
PulmonaryS. pyogenes pneumonia complicating Swine FluPuzzler 004
TraumaDiaphragmatic ruptureTribulation 004
UrineBrown urine, Rhabdomyolysis, MyoglobinuriaUnusual 004
Bone and Jointtranscaphoid perilunate fracture-dislocationBamboozler 005
CardiologyIntra-aortic balloon pump, overview, IABPCurveball 005
DislocationsElbow DislocationDislocation 005
ECGMarathon-Related ECG ExasperationExigency 005
MetabolicDiabetic ketoacidosis, hypernatremia, raised anion gapMuddle 005
MicrobialFever in a spinal patient, MeningitisMystery 005
Minortrauma, shoulder, fracture, clavicleInjury 005
NeurologyPseudobulbar and bulbar palsiesMind-boggler 005
OphthalmologyExasperating Eyelids And The Red Eye, blepharitis, meibomitis, dacrocystitis, canaliculitis, ectropion, entropionCase 005
Own ITOwn the airway the ballpoint pen versionOwn It 005
Pediatricforeign body, respiratory tract, lower, aspirationPerplexity 005
PulmonaryRe-expansion pulmonary oedemaPuzzler 005
TraumaFull thickness burns and EscharotomyTribulation 005
Urinepurple urine, indoxyl sulfate, indirubin, Providencia stuartiiUnusual 005
CardiologyThe Paradoxical Alternative, Pericardial tamponade, electrical alternans and pulsus parodoxusCurveball 006
DislocationsPatella DislocationDislocation 006
ECGSeizures, Somnolence And A Scary ECGExigency 006
MinorPatella dislocation, trauma, knee, patellarInjury 006
NeurologyComa in a spinal patientMind-boggler 006
OphthalmologyCoughing Kid And Blood Red Eye, Subconjunctival hemorrhageCase 006
PediatricSplat! A vomiting infant, pyloric stenosis, hypochloremic metabolic acidosisPerplexity 006
PulmonaryRuptured oesophagus, FLAAARDSPuzzler 006
TraumaTrauma And PregnancyTribulation 006
CardiologyIntra-Aortic Balloon Pump Trouble-Shooting, IABPCurveball 007
DislocationsMissed posterior shoulder dislocationDislocation 007
ECGA Subtle Sign Of Something SinisterExigency 007
Minornail gun injury, finger trauma, foreign bodyInjury 007
MinorParnoychia, nail bed, infection, procedure, drainageInjury 006
NeurologyEye movements, coma and pseudocoma, Glasgow Coma Score, GCSMind-boggler 007
OphthalmologyBlind, Aching And Vomiting, glaucoma, angle closure, acute, open angle, chronic, cuppingCase 007
PediatricPerilous Pinhead Polka-dots, petechiae, purpura, rash, meningococcemia, Henoch Schonlein Purpura, sepsis, vascilitisPerplexity 007
PulmonaryType 2 respiratory failure with comaPuzzler 007
TraumaTrauma And Pregnancy ReduxTribulation 007
CardiologyDeBakey‰Ûªs Dissection, Aortic DissectionCurveball 008
DislocationsScapho-lunate dissociation, Terry Thomas SignDislocation 008
ECGSudden Syncope On The Soccer FieldExigency 008
Minorpatella tendon rupture, trauma, kneeInjury 007
MinorEpistaxis, nose bleed, anatomy, nose, nasal, ENTInjury 008
NeurologyLook left, look right, Unilateral internuclear ophthalmoplegia, INOMind-boggler 008
OphthalmologyA Curtain Descends, Retinal detachmentCase 008
PediatricNeeding a Diagnostic Kick-start, Kawasaki disease, feverPerplexity 008
PulmonaryRapidly progressive respiratory failure, Type 1, pneumonitisPuzzler 008
TraumaA Motorcyclist‰Ûªs Irreparable InjuryTribulation 008
CardiologyTetraology Of Fallot And BT Shunts, Blalock-Tausig shuntCurveball 009
ECGFlummoxing Familial FibrillationExigency 009
MinorNasal fracture, nose, trauma, ENTInjury 009
NeurologyBullet in the HeadMind-boggler 009
OphthalmologyThat Optic Disc Doesn‰Ûªt Look Right, Optic neuritis, papilloedema, optic atrophy, pseudopapilloedema, papilitisCase 009
PediatricBaby Tim‰Ûªs Cries, colic, crying, baby, infant, painPerplexity 009
PulmonaryLung collapse, recruitment and bronchoscopyPuzzler 009
TraumaHigh Pressure-Injection InjuryTribulation 009
CardiologyCement Embolism, PVPCurveball 010
ECGTroubling TachycardiaExigency 010
Minorsuperficial burnsInjury 010
NeurologyBallistically Potent Vertigo, Benign Paroxysmal Positional Vertigo, BPPVMind-boggler 010
OphthalmologySomething In My Eye Doc, Corneal foreign bodyCase 010
PediatricDs and Vs, and can't stand up, Gastroenteritis, Hypokalemia, weakness, fluid replacementPerplexity 010
PulmonaryExtraordinary Cries, laryngoscopy, Vocal cord dysfunction, VCD, paradoxical vocal cord motion, PVCMPuzzler 010
TraumaHot Lips, oral commissure burnTribulation 010
CardiologyBedside Echo in Pulmonary EmbolismCurveball 011
ECGPost-Op Pacing PuzzlerExigency 011
MinorNasal foreign body, FB, procedure, ENTInjury 011
OphthalmologyA Pox On Your Eye, herpes zoster ophthalmicus, corneal ulcer, vesicular rashCase 011
Pediatricpenile zipper entrapmentPerplexity 011
Pulmonaryresistance futile, infection, consolidationPuzzler 011
TraumaMicrowave MeltdownTribulation 011
CardiologyNo Radial Pulse, Raynauds phenomenonCurveball 012
ECGMetabolic MayhemExigency 012
MinorSternum, trauma, fractureInjury 012
OphthalmologyFlashing And Floating, Posterior vitreous detachment, haemorrhageCase 012
PediatricWeak and vomiting: an endocrine emergency, Adrenal insufficiency, Addison's diseasePerplexity 012
PulmonaryMan versus Machine, DOPES,Puzzler 012
TraumaDigital rectal examinationTribulation 012
MinorSkier thumb, gamekeeper, thumb trauma, fracture, ulnar collateral ligamentInjury 013
OphthalmologyEyes Wide Split, lens dislocation, penetrating, eye traumaCase 013
PediatricHorrible Spots and Pain, Henoch Schoenlein Purpura, vasculitisPerplexity 013
PulmonaryBronchospastic Blood Pressure BadnessPuzzler 013
TraumaMajor Trauma Overview and PreparationTribulation 013
MinorAnkle sprains, trauma, ankleInjury 014
OphthalmologyBlowout fracture, orbital, blow out, fracture, trauma, wall, rimCase 014
PulmonaryAlarmingly high pressuresPuzzler 014
PulmonaryPuzzling out the PERC rulePuzzler 015
TraumaTrauma initial assessment and managementTribulation 014
OphthalmologyThe Ocular Ultrasound Challenge, ocular ultrasound, sonography, trauma, lens dislocation, retinal detachment, papilloedema, vitreous hemorrhage, globe ruptureCase 015
TraumaTraumatic Brain InjuryTribulation 015
OphthalmologyThe Aching Red Photophobic Eye, Uveitis, iritis, cyclitis, choroiditisCase 016
TraumaManaging spinal traumaTribulation 016
OphthalmologyPupils And Prostitutes, Argyll Robertson Pupils, syphilis, PArinaud syndrome, midbrain lesionsCase 017
TraumaLife-threatening chest traumaTribulation 017
OphthalmologyBlinded By The Light, UV, ultraviolet, keratitis, keratopathy, snow blindness, welder's arc, burnsCase 018
TraumaManaging potentially life-threatening chest traumaTribulation 018
OphthalmologyThe Eye In Chemical, chemical keratitis, alkali, acid, superglue, eye injury, irrigation, pHCase 019
TraumaAssessing the AbdomenTribulation 019
OphthalmologyA Gritty Sticky Red Eye, conjunctivitis, viral, allergic, bacterial, chlamydia, gonococcalCase 020
OphthalmologyStressed And Branching Out, HSV, herpes simplex virus, keratitis, dendritic ulcerCase 021
OphthalmologyYou‰Ûªre Blind And Your Hair Is A Mess, giant cell arteritis, temporal arteritis, anterior ischemic optic neuropathyCase 022
OphthalmologyThe Goggle-Eyed Fisherman, Orbital cellulitis, post-septal, periorbital, paediatrics, infectionCase 023
OphthalmologyI Can See Clearly Now, amaurosis fugax, ocular ischemic syndrome, transient visual lossCase 024
OphthalmologyMore Befuddling Pupillary Asymmetry, Horner's syndrome, anisocoriaCase 025
OphthalmologyA Man Of Singular Vision, retinal artery occlusion, CRAO, central, branch, ophthalmic artery occlusionCase 026
OphthalmologyA Woman Of Singular Vision, Central, branch, retinal vein occlusion, CRVOCase 027
OphthalmologyOut Of Sight, amaurosis fugax, papilloedema, glaucoma, vision loss, blindnessCase 028
OphthalmologyBump And Blur, lens, dislocation, trauma, ectopia lentisCase 029
OphthalmologyHalf An 8 Ball, hyphaema, traumatic iritisCase 030
OphthalmologyBlunt Trauma To The Eye, blunt trauma, eye, commotio retinae, traumatic, iritis, mydriasis, IridodialysisCase 031
OphthalmologyAnother Poke In The Eye, Corneal abrasionCase 032
OphthalmologyBashed, Blind And Bulging, Retrobulbar hemorrhage, trauma, orbital compartment syndromeCase 033
OphthalmologyLid Cracked Open, eyelid laceration, trauma, pediatricCase 034

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. Co-founder of HealthEngine, iMeducate, and the GMEP. He writes more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact