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Date Completed: 05/04/2023
Page 1 of 23
- Trauma
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Spinal Injury: Assessment
A 70 year old man is brought to the Emergency Department by paramedics. He tells you he tripped whilst crossing the road and hit his face on
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Ankle Injuries: Ankle Fracture
A 29 year old man presents to the Emergency Department with a painful, swollen ankle after falling heavily whilst playing in a football matc
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Head Injury: Raised Intracranial Pressure
A 24 year old man presents to the Emergency Department with a closed head injury following a road traffic collision. On examination you note
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Head Injury: Raised Intracranial Pressure
A 36 year old scaffolder is brought to the Emergency Department by ambulance after falling approximately 5 m on a building site and sustaini
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Paediatric Burns: Management
A 10 year old child presents to ED with bilateral burns to her forearms after pulling a pan of hot water off the stove. She is distressed an
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Upper Limb Nerve Injuries: Ulnar Nerve
A 16 year old boy is brought to the Emergency Department having fallen off his skateboard. He is complaining of pain and weakness in his rig
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Trauma in Pregnancy
A 25 year old woman, known to be pregnant, is brought into ED by ambulance following a major road traffic collision. She is haemodynamically
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Elbow and Arm Injuries: Pulled Elbow
A 2 year old boy is brought to the Emergency Department by his father. He tells you he has noticed the child has stopped using his right arm
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Head Injury: Assessment
An adult man is brought to the Emergency Department after falling from a ladder. He hit his head on a nearby wall. Which of the following is
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Thoracic Trauma: Cardiac Tamponade
A 17 year old is rushed to the Emergency Department by his friends who tell you he was stabbed in the chest 10 minutes ago. He is taken to t
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Elbow and Arm Injuries: Ossification Centres
You are asked to review an elbow x-ray of a child who has fallen at school. The nurse practitioner who assessed the child is unsure about th
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Thoracic Trauma: Tension Pneumothorax
A 36 year old man presents to the Emergency Department after being assaulted in a nearby park. He tells the triage nurse he was kicked in th
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Leg Injuries: Achilles Tendon Injury
A 31 year old man presents to the Emergency Department complaining of a severe pain in the lower right calf. He tells you the pain started s
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Foot Injuries: Calcaneal Fracture
A 29 year old man is brought to the Emergency Department by police after jumping out of a window on the second floor and landing on his feet
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Head Injury: Assessment
A 30 year old man is brought to the Emergency Department by his girlfriend. He was playing in a rugby match when he collided heads with anot
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Elbow and Arm Injuries: Pulled Elbow
An anxious mum brings her 3 year old into the Emergency Department. He is crying and refusing to use his left arm. His mum states they were
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Knee Injuries: Patellar Dislocation
A 32 year old man is brought to the Emergency Department after sustaining a knee injury during a football match. He is holding the knee in a
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Paediatric Burns: Assessment
A 5 year old is brought into the Emergency Department after pulling a pan of boiling water off the stove onto herself. She has partial thick
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Knee Injuries: Tibial Plateau Fracture
A 34 year old woman presents to the Emergency Department after falling on a night out with friends. She is unable to weight bear due to pain
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Head Injury: Basal Skull Fracture
A 21 year old man presents to the Emergency Department on Sunday morning. He tells you he was involved in a fight the night before, during w
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Inhalation Injury: Management
A 65 year old man is brought into ED by an air ambulance following a gas explosion at his home. Primary survey demonstrates the following.
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Hand Injuries: Extensor Tendon Injury
A 75 year old woman presents to ED with an injury to her right hand after she caught her finger while tucking in her bedsheets. Which of the
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Upper Limb Nerve Injuries: Median Nerve
A 16 year old boy sustains a supracondylar fracture falling off his bike. He is unable to flex the distal interphalangeal joint of his index
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Elbow and Arm Injuries: Midshaft Humeral Fracture
A 54 year old man presents to the Emergency Department after falling from a horse. He is complaining of pain in his left arm. An x-ray is pe
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Hand Injuries: Extensor Tendon Injury
A 34 year old patient presents to the Emergency Department having sustained an injury to her right hand whilst playing cricket. She is unabl
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Spinal Injury: Neurogenic Shock
A 28 year old man is brought to ED by air ambulance following a road traffic collision. He is complaining of neck pain and tells you he is u
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Shoulder Injuries: Anterior Shoulder Dislocation
A 35 year old man presents to the Emergency Department after injuring his right shoulder during a rugby match. An x-ray is arranged at triag
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Upper Limb Nerve Injuries: Long Thoracic Nerve
A 28 year old man presents to ED followed an alleged assault whilst out drinking. He received blunt trauma to his right axilla. He is compla
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Inhalation Injury: Management
A 23 year old woman is brought to the Emergency Department by paramedics following a house fire in a nearby property. She is alert and talki
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Carpal Injuries: Perilunate dislocation
A 35 year old woman presents to ED complaining of pain in her wrist and hand following a fall onto an outstretched hand. What is the diagnos
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Urological Injury: Urethral Tear
A 72 year old man is brought to the Emergency Department after crashing his ride on lawnmower into a garage door. He has bruising across his
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Head Injury: Assessment
A man is brought to the Emergency Department after falling from a ladder. He hit his head on a nearby wall and was unconscious for 2 minutes
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Wound Management
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. You are discussing the v
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Elbow and Arm Injuries: Medial Epicondylar Fracture
A 54 year old man presents to the Emergency Department after falling from a ladder. He is complaining of pain in his left elbow. An x-ray is
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Hip and Thigh Injuries: Femoral Neck Fracture
An 85 year old woman is brought to the Emergency Department by paramedics. She fell in a nursing home and the paramedics suspect a neck of f
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Thoracic Trauma: Open Pneumothorax
A 27 year old woman presents to the Emergency Department after being stabbed in a nearby park. The injury occurred 5 minutes ago and her fri
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Thoracic Trauma: Massive Haemothorax
A 32 year old motorcyclist is brought to the Emergency Department following a collision with a car. He was found to be tender over the left
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Upper Limb Nerve Injuries: Ulnar Nerve
A patient presents to the Emergency Department having fallen on her left arm at a roller disco party. She has fractured the medial epicondyl
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Hand Injuries: Paronychia
A 43 year old man presents to the Emergency Department with a painful, red, left index finger. He is systemically well with no past medical
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Upper Limb Nerve Injuries: Musculocutaneous Nerve
A 54 year old man is brought to the Emergency Department having been involved in a road traffic collision. He has sustained multiple fractur
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Abdominal Trauma: Types of Injury
A 35 year old female is brought into hospital following a road traffic accident. Imaging shows retroperitoneal trauma. Which of the followin
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Wrist Injuries: Barton's Fracture
A 78 year old man presents to the Emergency Department after slipping on an icy pavement. He is complaining of pain in the right wrist. What
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Foot Injuries: Ottawa Rules
A triage nurse approaches you and asks for advice regarding a patient she is assessing. The patient is complaining of foot pain following a
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Scaphoid Fracture: Anatomy
A 23 year old professional skateboarder presents to the Emergency Department complaining of pain to the right wrist following a fall. On exa
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Spinal Injury: Spinal Cord Lesion
A 24 year old builder is brought into the Emergency Department following an accident at work in which a tool has fallen on his head causing
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Upper Limb Nerve Injuries: Median Nerve
A 29 year old male presents to the Emergency Department having falling awkwardly during a judo match. On examination he is unable to flex hi
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Wrist Injuries: Colles Fracture
A 76 year old woman presents to the Emergency Department after falling in a supermarket. She is able to give a clear history of tripping on
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Compartment Syndrome: Management
A 25 year old man presents to the Emergency Department complaining of worsening pain and paraesthesia in his lower leg. He was only discharg
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Hip and Thigh Injuries: Acetabular Fracture
A 32 year old man is brought to the Emergency Department by paramedics after falling from his motorcycle during a track day. An x-ray pelvis
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Elbow and Arm Injuries: Ossification Centres
You have been asked to review an elbow x-ray of a 1 year old child who has fallen. The junior colleague reviewing the x-ray is uncertain if
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Hip and Thigh Injuries: Femoral Neck Fracture
An 81 year old woman is brought to the Emergency Department by paramedics after falling whilst cleaning. She is independent with no signific
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Pelvic Injury: Avulsion Fracture
A 13 year old boy presents to the Emergency Department with pain to the left lateral upper thigh. The pain is worse on movement. He describe
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Upper Limb Nerve Injuries: Radial Nerve
A 35 year old man attends the Emergency Department having been thrown off his mountain bike and fallen onto his right arm. You note numerous
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Elbow and Arm Injuries: Ossification Centres
You have been asked to review an elbow x-ray of a 1 year old child who has fallen. The junior colleague reviewing the x-ray is uncertain if
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Leg Injuries: Toddler's Fracture
A 3 year old boy is brought to the Emergency Department by his concerned mother. She left him on the sofa and went into the next room, short
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Scaphoid Fracture: Management
A 43 year old man presents to the Emergency Department complaining of pain in the right wrist following a fall the same day. On examination
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Knee Injuries: Knee Dislocation
A 22 year old gymnast is brought to the Emergency Department after falling awkwardly during practice and injuring her left knee. She is unab
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Thoracic Trauma: Tension Pneumothorax
A 36 year old man presents to the Emergency Department after being assaulted in a nearby park. He tells the triage nurse he was kicked in th
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Scaphoid Fracture: Anatomy
A 32 year old pianist presents to the Emergency Department complaining of pain in the right wrist following a fall. An x-ray is performed, w
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Head Injury: Basal Skull Fracture
You are assessing a medical student as she examines a 32 year old man who has been assaulted. The medical student believes the patient has f
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Burns: Assessment
An 18 year old boy presents to the Emergency Department with a burn to his left hand. He was trying to light a bonfire using petrol when it
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Shoulder Injuries: Anterior Shoulder Dislocation
A 28 year old builder presents to ED complaining of pain in his left shoulder after falling from a ladder. X-ray demonstrates an anterior sh
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Spinal Injury: Spinal Cord Lesion
A 29 year old racing driver is brought to the Emergency Department following a high speed crash. A trauma CT from head to pelvis has show a
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Spinal Injury: Spinal Cord Tracts
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The topic of the session
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Thoracic Trauma: Open Pneumothorax
A 22 year old man presents to ED following a road traffic collision with a open chest wound. You apply an occlusive dressing and continue yo
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Elbow and Arm Injuries: Midshaft Humeral Fracture
A 16 year old boy presents to ED with a painful swollen arm after falling off his skateboard. He is unable to extend his wrist. Which of the
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Scaphoid Fracture: Management
A 29 year old rugby player presents to the Emergency Department complaining of pain in the left wrist following a fall the same day. On exam
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Upper Limb Nerve Injuries: Axillary Nerve
A 79 year old lady is brought to the Emergency Department after she tripped on a curb and landed on her left arm. Imaging shows a fracture o
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Burns: Assessment
A 4 year old child is brought to the Emergency Department after receiving a burn at a bonfire party. The triage nurse thinks the burn is ful
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Burns: Management
A 64 year old man is brought to the Emergency Department following a fire in a caravan. He has deep partial thickness burns to approximately
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Paediatric Burns: Management
A 6 year old girl is brought to the Emergency Department by paramedics. She was at a family party when she fell into a bonfire. You calculat
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Electrical Burns: Clinical Features
You have been asked to give a teaching session to a group of medical students. The topic of the session is "Electrical Injury". Regarding el
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Bite Wounds: Infection
A 64 year old woman present to the Emergency Department complaining of fever and malaise. She has no past medical history. One week ago she
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Scaphoid Fracture: Anatomy
A 32 year old pianist presents to the Emergency Department complaining of pain in the right wrist following a fall. An x-ray is performed, w
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Upper Limb Nerve Injuries: Median Nerve
A 42 year old construction worker presents to the Emergency Department after sustaining a penetrating injury to his left forearm. On examina
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Thoracic Trauma: Cardiac Tamponade
A 17 year old is rushed to the Emergency Department by his friends who tell you he was stabbed in the chest 10 minutes ago. He is taken to t
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Leg Injuries: Fibular Fracture
A 27 year old man presents to the Emergency Department complaining of leg pain following a fall from a height while rock climbing. An x-ray
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Knee Injuries: Knee dislocation
A 49 year old man presents to ED following a road traffic accident. He is unable to weight bear and complaining of pain and swelling of his
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Paediatric Burns: Referral
An 8 year old boy is brought to the Emergency Department with a burn following a house fire. Which of the following is NOT criteria for refe
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Wound Management
A 64 year old man presents to the Emergency Department after tripping on a kerb. He has sustained a laceration to his right pretibial region
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Hand Injuries: Tenosynovitis
A 23 year old mechanic presents to the Emergency Department with an acutely swollen and very painful index finger. He sustained a minor punc
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Head Injury: Assessment
A 32 year old woman is brought to the Emergency Department by her husband after falling at an ice rink 3 hours ago. She describes falling on
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Spinal Injury: Assessment
You are called to the triage room by a nurse. She is concerned about a patient who has presented to the Emergency Department complaining of
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Thoracic Trauma: Massive Haemothorax
A 43 year old man is brought to the Emergency Department after being hit by a bus whilst crossing the road. You are assessing the patient as
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Paediatric Burns: Management
A 20 month old (weight 15 kg) is brought into the Emergency Department with a partial thickness scald burn to the anterior torso and right u
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Head Injury: Assessment
A 6 month old boy is brought to the Emergency Department by his parents after falling from a sofa onto a carpeted floor. Which of following
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Thoracic Trauma: Tension Pneumothorax
You are giving a teaching session on the trauma primary survey to a group of medical students. You are discussing the immediate life threate
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Head Injury: Raised Intracranial Pressure
A 20 year old rugby player is brought to ED with a head injury after a scrum collapsed at a rugby match. His GCS on admission is 6/15. He is
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Shoulder Injuries: Posterior Shoulder Dislocation
A 43 year old man presents to the Emergency Department following a fall. He complains of pain in the left shoulder. What is the diagnosis?
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Knee Injuries: Patellar Fracture
A 76 year old man presents to the Emergency Department complaining of knee pain after falling forwards whilst in church. What is the diagnos
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Thoracic Trauma: Tension Pneumothorax
A 25 year old woman is brought into ED following a road traffic collision in which she has sustained significant thoracic trauma. You are un
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Elbow and Arm Injuries: Supracondylar Fracture
A 21 year old presents to the Emergency Department with an injury to his left arm after falling from a skateboard. Imaging shows a supracond
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Salter-Harris Classification: Diagnosis
A 13 year old boy is brought to ED by his parents with ankle pain after falling awkwardly on his ankle while skateboarding. He is unable to
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Wrist Injuries: Smith's Fracture
A 65 year old woman presents to the Emergency Department after tripping whilst carrying shopping. She tells you that as she fell she did not
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Hand Injuries: Tenosynovitis
A 32 year old farm worker has presented to the ED with an infected laceration on a digit. You are concerned about the possible spread of inf
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Thoracic Trauma: Cardiac Tamponade
A 17 year old is rushed to the Emergency Department by his friends who tell you he was stabbed in the chest 10 minutes ago. He is taken to t
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Hip and Thigh Injuries: Femoral Neck Fracture
An 85 year old woman is brought to the Emergency Department by paramedics. She fell in a nursing home and the paramedics suspect a neck of f
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Burns: Assessment
A 71 year old woman is brought to the Emergency Department after pulling a freshly made cup of coffee over herself. She has burns to her tor
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Head Injury: Assessment
A 65 year old builder is brought into ED after falling from some scaffolding and sustaining a head injury. Which of the following is NOT an
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Spinal Injury: Assessment
A 32 year old woman walked into the Emergency Department complaining of neck pain which started 30 minutes after her stationary car was knoc
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Burns: Management
You have been asked to give a teaching session to a group of medical students. The title of the session is "Burns Management in the Emergenc
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Head Injury: Raised Intracranial Pressure
A 32 year old man is brought to the Emergency Department by paramedics following a road traffic collision. He was the unrestrained front sea
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Head Injury: Assessment
A 4 year old boy is brought to the Emergency Department by his parents after falling from a climbing frame in a nearby park. They tell you h
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Upper Limb Nerve Injuries: Radial Nerve
A patient presents to the Emergency Department complaining of weakness in her left arm. She tells you she sustained a fracture to this arm a
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Ankle Injuries: Ankle Sprain
A 19 year old woman presents to the Emergency Department complaining of right ankle pain after falling whilst on a night out. You diagnose a
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Spinal Injury: Spinal Cord Lesion
A 34 year old man is brought to ED with a stab wound through the left hand side of his back. On examination, there is weakness of the left s
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Elbow and Arm Injuries: Supracondylar Fracture
A 12 year old girl is brought to ED by her parents after falling onto an outstretched hand. She is complaining of severe pain to her left ar
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Thoracic Trauma: Open Pneumothorax
A 21 year old man is brought to the Emergency Department after being stabbed during a fight in a nearby pub. He has one wound to the left si
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Head Injury: Assessment
An 85 year old man, who lives alone, is brought to the Emergency Department after falling from a ladder. He hit his head on a nearby wall. H
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Head Injury: Epidural Haematoma
A 30 year old man is brought into the Emergency Department by ambulance with reduced consciousness. He was playing football th
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Shoulder Injuries: Rotator Cuff Injury
A 43 year old decorator presents to the Emergency Department after falling from a ladder. He is complaining of pain and weakness in his righ
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Shoulder Injuries: Humeral Neck Fracture
A 63 year old woman presents to the Emergency Department complaining of pain in her right shoulder. She tells you that 2 hours earlier she w
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Knee Injuries: Cruciate Ligament Injury
A 23 year old man presents to the Emergency Department after a sudden onset of right knee pain after being tackled during a rugby match. Aft
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Ankle Injuries: Ankle Sprain
A 19 year old girl walks into the Emergency Department with a painful right ankle. She was out drinking last night, wearing high heels, and
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Hip and Thigh Injuries: Anterior Hip Dislocation
A 54 year old man is brought to the Emergency Department following a fall from his motorcycle. He is complaining of pain in the left hip and
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Thoracic Trauma: Massive Haemothorax
A 45 year old man is brought to the Emergency Department after falling approximately 10 metres from a roof on a building site. His colleague
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Hip and Thigh Injuries: Femoral Neck Fracture
A 72 year old man is brought to the Emergency Department after falling at home. He is complaining of pain to the left hip. What is the diagn
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Upper Limb Nerve Injuries: Median Nerve
A 54 year old woman presents to the Emergency Department having sustained a laceration to the palm of her hand while gardening. She is unabl
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Upper Limb Nerve Injuries: Musculocutaneous Nerve
A 20 year old patient attends the Emergency Department having received a gunshot wound to his right arm. Following initial resuscitative mea
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Head Injury: Subdural Haematoma
A 70 year old man is brought to the Emergency Department by his family with increasing confusion and drowsiness. They tell you he fell at ho
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Leg Injuries: Toddler's Fracture
A 3 year old boy is brought to the Emergency Department by his mother. He is crying and refusing to weight bear or mobilise. He is distresse
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Hip and Thigh Injuries: Posterior Hip Dislocation
A 65 year old woman presents to ED following a fall at home. She is complaining of severe left hip pain and her left limb is shortened and i
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Paediatric Burns: Management
A 3 year old boy is brought to the Emergency Department by his parents. He has suffered a burn to his left hand and arm from a wood burning
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Upper Limb Nerve Injuries: Ulnar Nerve
A 32 year old woman presents to the Emergency Department following an injury to her right elbow. She is complaining of weak grip in her righ
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Shoulder Injuries: Rotator Cuff Injury
A 23 year old man presents to the Emergency Department having injured his right shoulder playing lacrosse. From your history and examination
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Upper Limb Nerve Injuries: Ulnar Nerve
An 18 year old patient presents to the Emergency Department following an injury to the distal crease of her wrist. An image of her hand at r
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Upper Limb Nerve Injuries: Axillary Nerve
A 45 year old woman is brought to the Emergency Department having fallen down the stairs and injured her right arm. On examination she is un
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Hip and Thigh Injuries: Femoral Neck Fracture
A 70 year old woman is brought to the Emergency Department by paramedics after falling whilst shopping. She is normally independent with no
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Knee Injuries: Cruciate Ligament Injury
A 23 year old man presents to the Emergency Department after a sudden onset of right knee pain after being tackled during a rugby match. On
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Spinal Injury: Neurogenic Shock
A 64 year old roofer is brought to ED following a fall from a roof at work. The paramedics who hand the patient over suspect that he has neu
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Thoracic Trauma: Tension Pneumothorax
A 19 year old man is carried into the Emergency Department by his friends. They shout for help on arrival. They tell you he was attacked and
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Shoulder Injuries: Anterior Shoulder Dislocation
A 32 year old man presents to the Emergency Department complaining of right shoulder pain after falling at work. On examination you note a l
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Head Injury: Raised Intracranial Pressure
You have been asked to give a teaching session on head injuries to a group of medical students. You are discussing cerebral blood flow and t
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Spinal Injury: Spinal Cord Tracts
A 23 year old man is brought to the Emergency Department by paramedics. He has been involved in an altercation outside of a pub and has sust
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Leg Injuries: Achilles Tendon Injury
A 23 year old man presents to the Emergency Department complaining of a severe pain in the lower right calf. He tells you the pain started s
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Bite Wounds: Management
A 19 year old male presents to the Emergency Department having sustained a human bite injury to his forearm whilst involved in a brawl outsi
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Pelvic Injury: AP Compression Fracture
A 42 year old motorcyclist is brought into ED following a road traffic collision in which he was struck by an SUV as it pulled out of a junc
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Head Injury: Subdural Haematoma
A 79 year old man, taking aspirin for vascular disease, is brought to the Emergency Department with decreased consciousness after falling at
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Ankle Injuries: Ottawa Rules
The triage nurse asks for your advice about a 19 year old female patient. She has presented after a fall and is complaining of ankle pain. T
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Thoracic Trauma: Tension Pneumothorax
A 23 year old man is brought to the Emergency Department by paramedics after being stabbed in the xiphisternal region with a screwdriver. Th
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Spinal Injury: Spinal Cord Lesion
A 85 year old woman is brought to the Emergency Department complaining of neck pain following a fall. She has a history of chronic neck pain
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Burns: Assessment
A 21 year old male is brought into the Emergency Department with burns following an accident with a firework. The burns cover the right half
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Shoulder Injuries: Rotator Cuff Injury
A 28 year old man presents to the Emergency Department having injured his right shoulder playing basketball. You position the patient as sho
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Wrist Injuries: Colles Fracture
A 69 year old woman presents to the Emergency Department after falling in a supermarket. She is able to give a clear history of tripping on
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Knee Injuries: Investigations
You have been asked to give a teaching session to a group of Emergency Nurse Practitioners working in the Minor Injury Unit attached to your
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Leg Injuries: Fibular Fracture
A 27 year old man presents to the Emergency Department complaining of leg pain following a particularly violent tackle during a football gam
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Scaphoid Fracture: Anatomy
A 32 year old pianist presents to the Emergency Department complaining of pain in the right wrist following a fall. An x-ray is performed, w
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Leg Injuries: Maisonneuve Fracture
A 18 year old boy presents to ED complaining of severe pain in his ankle after falling from a bike. He is not weight bearing. What is the di
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Leg Injuries: Achilles Tendon Injury
A 43 year old man presents to the Emergency Department complaining of a severe pain in the lower right calf. He tells you the pain started s
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Thoracic Trauma: Cardiac Tamponade
A 21 year old man is brought to the Emergency Department with a single stab wound to the chest. You are assessing him as part of the trauma
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Hand Injuries: Tenosynovitis
A 22 year old mechanic presents to ED complaining of a painful finger on his right hand following an injury at work 5 days ago. His GP start
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Shoulder Injuries: Clavicular Fracture
A 23 year old woman presents to the Emergency Department complaining of pain in the right shoulder following a fall whilst intoxicated. On e
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Wound Management
A 27 year old man presents to the Emergency Department after falling through a glass door. He has sustained multiple lacerations to both arm
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Spinal Injury: Spinal Cord Tracts
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The topic of the session
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Ankle Injuries: Ankle Dislocation
A 45 year old woman is brought to the Emergency Department after slipping on an icy path. She has no significant past medical history. She i
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Burns: Referral
A 54 year old man is brought to the Emergency Department having sustained burns whilst lighting a barbecue using petrol. Your Emergency Depa
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Compartment Syndrome: Investigations
A 25 year old man presents to the Emergency Department complaining of worsening pain and paraesthesia in his lower leg. He was only discharg
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Hand Injuries: Boxer's Fracture
An 18 year old male patient attends the Emergency Department with a hand injury which he sustained on a night out. He is vague about the mec
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Compartment Syndrome: Clinical Features
A 28 year old woman presents to ED complaining of pain and swelling in her left leg. She has recently received treatment for burns affecting
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Abdominal Trauma: Types of Injury
A 32 year old man is brought to the Emergency Department following a fight outside a pub. He was kicked in the abdomen multiple times. Which
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Forearm Injuries: Galeazzi Fracture-Dislocation
A 24 year old woman is brought in with arm pain after falling off a horse. Her arm is grossly swollen and the x-ray is shown. What is the di
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Burns: Assessment
A 21 year old male is brought into the Emergency Department with burns following an accident with a firework. The burns cover the right half
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Head Injury: Assessment
A 70 year old woman is brought to the Emergency Department by her family after falling at home. She describes tripping on a rug and falling
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Compartment Syndrome: Management
A 27 year old man presents to the Emergency Department complaining of pain in his left lower leg. He was seen in the Emergency Department 2
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Compartment Syndrome: Diagnosis
A 65 year old lady with a Monteggia forearm fracture in a plaster cast while awaiting open reduction and internal fixation, attends the Emer
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Knee Injuries: Patellar Tendon Injury
A 32 year old man presents to the Emergency Department after falling from a quad bike. He complains of pain around the left knee. On examina
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Head Injury: Epidural Haematoma
A 23 year old man is brought to the Emergency Department unconscious. He was punched outside of a pub and fell to the floor, hitting his hea
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Wrist Injuries: Colles Fracture
A 23 year old man presents to Emergency Department after falling onto his outstretched hands at work. He is holding his deformed right wrist
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Carpal Injuries: Lunate dislocation
A 32 year old man presents to the Emergency Department complaining of pain in his dominant right wrist after falling from his motorcycle at
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Hand Injuries: Carpometacarpal Dislocation
A 65 year old woman presents to ED complaining of pain in her hand following a fall onto an outstretched hand. What is the diagnosis?
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Abdominal Trauma: Assessment
A 32 year old woman is brought to the Emergency Department following a road traffic collision. She was the unrestrained driver of a car trav
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Salter-Harris Classification: Diagnosis
A 13 year old boy is brought to the Emergency Department by his father after developing left ankle pain following a tackle in a football mat
> -
Thoracic Trauma: Massive Haemothorax
A 45 year old man is brought to the Emergency Department after falling approximately 10 metres from a roof on a building site. His colleague
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Hand Injuries: Tenosynovitis
A 31 year old woman presents to ED complaining of a painful hand. She tells you her dog bit her on the hand 3 days ago and it has been getti
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Thoracic Trauma: Open Pneumothorax
A 21 year old is brought into the Emergency Department by ambulance with a stab wound to his left upper back. You notice bubbling of blood a
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Spinal Injury: Assessment
A 32 year old man presents to the Emergency Department following a low speed rear end collision in a car park. He was mobile at the scene bu
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Wrist Injuries: Wrist Sprain
A 13 year old boy is brought to the Emergency Department after falling from his scooter in a local skatepark. He is complaining of pain to t
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Thoracic Trauma: Tension Pneumothorax
A 19 year old man is carried into the Emergency Department by his friends. They shout for help on arrival. They tell you he was attacked and
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Thoracic Trauma: Pulmonary Contusion
A 18 year old patient is brought to ED following a road traffic collision in which he has sustained chest trauma as an unrestrained passenge
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Shoulder Injuries: Anterior Shoulder Dislocation
A 23 year old man presents to the Emergency Department after falling from his bicycle. He is complaining of pain to the right shoulder and i
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Electrical Burns: Management
A 31 year old trainee electrician presents to ED following an electric shock to his left hand while working on a household outlet. He descri
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Upper Limb Nerve Injuries: Axillary Nerve
A basketball player presents to the Emergency Department having fallen heavily onto his right arm during a game. X-ray shows a fracture of t
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Spinal Injury: Spinal Cord Lesion
A 23 year old man is brought to the Emergency Department by paramedics. He has been involved in an altercation outside of a pub and has sust
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Scaphoid Fracture: Complications
A 27 year old dancer presents to the Emergency Department complaining of pain in the right wrist following a fall the same day. On examinati
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Upper Limb Nerve Injuries: Radial Nerve
A 26 year old man is involved in a fall while playing rugby and has sustained a spiral fracture of the midshaft of the left humerus. Which o
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Salter-Harris Classification: Complications
A 10 year old boy is brought to the Emergency Department by his father after developing left ankle pain after falling from a trampoline. An
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Hand Injuries: Tenosynovitis
A 45 year old woman presents to the Emergency Department complaining of a painful right middle finger. She sustained a puncture wound to the
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Forearm Injuries: Monteggia Fracture-Dislocation
A 34 year old tree surgeon is brought to the Emergency Department by his colleagues after falling from a tree. He is complaining of pain in
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Hip and Thigh Injuries: Femoral Neck Fracture
A 79 year old woman is brought to the Emergency Department after falling during the night. She is unable to give a clear history due to adva
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Elbow and Arm Injuries: Supracondylar Fracture
A 4 year old child is brought to the Emergency Department after complaining of pain in the right elbow following a fall from a swing. An x-r
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Head Injury: Epidural Haematoma
A 19 year old rugby player is brought to the Emergency Department with a history of headache, vomiting, drowsiness and confusion 3 hours aft
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Scaphoid Fracture: Diagnosis
A 25 year old rock climber presents to the Emergency Department complaining of pain to the right wrist following a fall. An x-ray is arrange
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Burns: Management
A 64 year old man is brought to the Emergency Department following a fire in a caravan. He has deep partial thickness burns to approximately
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Upper Limb Nerve Injuries: Long Thoracic Nerve
A 41 year old woman presents to ED complaining that she is having difficulty raising her arm to brush her hair with her right hand. She has
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Spinal Injury: Spinal Cord Lesion
A 42 year old man presents to ED after falling from the top of a ladder while cleaning out the gutters on his roof. He is complaining of nec
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Abdominal Trauma: Types of Injury
A 17 year old man is carried into the Emergency Department by his friends. They tell you he has been stabbed in the abdomen. Which of the fo
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Burns: Management
A 49 year old man is brought to ED following a gas explosion at his flat. He has full thickness burns to both legs and groin which you estim
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Hand Injuries: Paronychia
A 30 year old woman presents to the Emergency Department complaining of a red, painful middle finger. What is the diagnosis?
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Knee Injuries: Investigations
You have been asked to give a teaching session to a group of Emergency Nurse Practitioners working in the Minor Injury Unit attached to your
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Hip and Thigh Injuries: Acetabular Fracture
A 49 year old woman is brought to the Emergency Department following a two vehicle road traffic collision. Her primary survey is unremarkabl
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Spinal Injury: Spinal Cord Lesion
A 28 year old male patient is brought to the Emergency Department following a motorbike accident. On performing a full neurological examinat
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Bite Wounds: Infection
A 28 year old man presents to the Emergency Department complaining of right arm pain and swelling. He tells you he received a bite wound to
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Elbow and Arm Injuries: Supracondylar Fracture
A 5 year old child is brought to the Emergency Department after falling at school. He is complaining of pain in his right elbow. An x-ray is
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Head Injury: Subdural Haematoma
A 79 year old man, taking aspirin for vascular disease, is brought to the Emergency Department with decreased consciousness after falling at
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Scaphoid Fracture: Anatomy
A 23 year old professional skateboarder presents to the Emergency Department complaining of pain to the right wrist following a fall. On exa
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Pelvic Injury: AP Compression Fracture
A 63 year old man is brought to the Emergency Department following a road traffic collision. He is complaining of pelvic pain and is hypoten
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Leg Injuries: Calf Muscle Injury
A 23 year old man presents to the Emergency Department complaining of a 1 day history of pain to the right calf with pain on weightbearing.
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Head Injury: Raised Intracranial Pressure
A 25 year old man is brought to the Emergency Department following a road traffic collision. He has signs of a closed head injury. On examin
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Hand Injuries: Extensor Tendon Injury
A 26 year old woman presents to the Emergency Department having sustained a deep laceration to the dorsum of her ring finger whilst cooking.
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Head Injury: Basal Skull Fracture
A 23 year old man is brought to the Emergency Department after being punched during an altercation outside of a nightclub. He has fallen and
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Knee Injuries: Tibial Plateau Fracture
A 65 year old woman is brought to the Emergency Department after falling whilst shopping. She complains of pain in the left knee and is unab
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Burns: Management
A 25 year old female is brought into the Emergency Department after being rescued from a house fire. She has deep partial thickness burns co
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Burns: Complications
A 21 year old patient is brought to ED having been rescued from a house fire. She has sustained circumferential partial thickness burns with
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Compartment Syndrome: Clinical Features
A 23 year old man presents to the Emergency Department complaining of pain in his left leg. He was discharged yesterday in a below knee back
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Burns: Management
A 28 year old woman is brought to ED by ambulance with significant burn injuries following a house fire. She has full thickness burns over h
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Pelvic Injury: AP Compression Fracture
A 66 year old man is brought into ED following a road traffic collision. His pelvic x-ray is shown. What is the most appropriate initial man
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Hip and Thigh Injuries: Femoral Neck Fracture
An 85 year old woman is brought to the Emergency Department by paramedics. She fell in a nursing home and the paramedics suspect a neck of f
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Elbow and Arm Injuries: Radial Head Fracture
A 43 year old woman presents to the Emergency Department after falling onto her right arm. She is complaining of pain at the elbow. An x-ray
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Thoracic Trauma: Diaphragmatic Rupture
A 60 year old man is brought to ED after losing control of his vehicle whilst intoxicated and hitting a brick wall at approximately 60 mph.
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Upper Limb Nerve Injuries: Radial Nerve
A 19 year old student fell asleep after a night of drinking with his arm hanging over the back of a chair. He presents to the Emergency Depa
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Salter-Harris Classification: Diagnosis
You have been asked to give a teaching session to a group of final year medical students. The topic is paediatric fractures in the Emergency
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