RCEMLearning

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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NEW: This module explores respiratory complications related to e-cigarette use, highlighting hypersensitivity pneumonitis (HP) and e-cigarette or vaping-associated lung injury (EVALI)

Learning Session: https://www.rcemlearning.co.uk/modules/identifying-e-cigarette-related-health-risks/
Reference: https://www.rcemlearning.co.uk/reference/identifying-e-cigarette-related-health-risks/

SUNDAY QUESTION
Considering the above history and examination findings, and the CT Thorax, what is the most likely diagnosis in this patient?

Comment with the right answer

UPDATE: A 2-year-old child presents with worsening eczema and parental concerns that she is unwell.
https://www.rcemlearning.co.uk/modules/beyond-dry-skin/

NEW: A 30-year-old woman presents to your Emergency Department (ED) accompanied by police after an assault by her partner. She reports that during the incident her partner grabbed her around her neck and applied pressure for several seconds


https://www.rcemlearning.co.uk/modules/the-invisible-grip-non-fatal-strangulation/

NEW: A 41-year-old female presents to the emergency department with a six-month history of intermittent palpitations. Each episode lasts approximately one to two minutes and resolves spontaneously. She reports that the palpitations occur randomly, sometimes at rest, and are occasionally associated with lightheadedness



https://www.rcemlearning.co.uk/modules/funny-heart-beats/