
Royal College of Emergency Medicine Elearning and #FOAMed resource š„ Listen to our podcast here: https://xitter.cf/t.co/1Q22xFqLMK
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ALT A young male is brought to you with a 7/7 history of gradually worsening headache and lethargy. He is from Uganda and has recently been home to see his family. He is cachexic and lethargic. He has a temp of 37.9oC. Which of the following is correct? a). This presentation is unlikely to be TB meningitis due to the sub-acute course b). You would expect CSF analysis to show very high levels of protein and high levels of glucose in TB meningitis c). Immunocompromised patients are at increased risk from Cryptococcus, toxoplasmosis and TB meningitis d). Brain abscesses are more common in females than males

ALT Hayder is a 9-month-old who fell from his high chair. You go to do your primary survey. Heās currently wriggling around, staring intently at you as you walk around the room. A is fine ā so you move on to consider his c-spine. What is the most appropriate way of managing his c-spine? Keep him in parent's arms and arrange a CT scan Keep him comfortable with a parent, and complete your primary survey Lie him on a trolley, apply collar, blocks and tape Lie him on a trolley, provide manual immobilisation

ALT A 67-year-old man presents to the Emergency Department (ED) with a painful swollen left knee. He looks systemically unwell, cannot actively move his left knee and does not allow any passive movement either. There is no history of trauma. Observations: Oxygen Saturations 90% on room air Respiratory rate 24 breaths per minute Heart rate 128 beats per minute Blood pressure 92/60 mmHg Temperature 39 degrees Celsius He is usually independent. He has a background of diabetes, gout and chronic obstructive pulmonary disease (COPD).








