Bullet in the Head

gunshot wound to head

A gun shot wound to the head provides the basis for a question-and-answer based discussion on penetrating traumatic brain injury and multi-modal monitoring.

Sternal Fractures

sternum tb

Sternum fractures result from severe blunt chest trauma, and cause significant pain to the patient. Treatment is tailored around adequate analgesia, with surgical intervention only warranted in limited cases.

Radiology Quiz 027

FACEM VAQ

An 11 year old boy has an isolated head injury after falling from a skateboard 10 hours ago. He has a GCS of 4 with decerebrate posturing.

Gut ache or Gordian knot?

paraduodenal hernia

A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed?

CT Safety and Radiation Risk

Is a cancer epidemic be looming over the horizon? The universality of CT as the investigation du jour, and growing concerns about the risks of radiation.

DeBakey’s Dissection

LITFL Logo

A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. A chest X-ray and ECG are performed and reveal no abnormalities

Sternoclavicular Joint Dislocation

SCJ_Dislocation

Clinical cases of Bilateral Posterior Sternoclavicular joint dislocation

Gastrointestinal Gutwrencher 001

GI gutwrencher #001

A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.

Radiological Oddity #019

MS0980469.11

Radiological Oddity #019 – What the?

A Nasty Sore Throat

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A 38 year old male with a background history of type 2 diabetes presents with fevers, rigors and pain on swallowing. There is no sign of impending airway compromise; however, marked trismus is noted. The following plain X-ray is obtained: