Problem 35 A 35-year-old woman vomiting blood Jonathan Mitchell It is 7 p.m. on a busy Saturday night. You are called urgently to the emergency department. A 35-year-old woman has…

Problem 50 A collapsed, breathless woman Andrew W. Perry You are working in an emergency department overnight and you receive an urgent call from the ambulance service. A paramedic crew…

Problem 20 Haematuria in a 60-year-old man Darren Foreman A 60-year-old man presents with a 3-day history of passing blood in his urine. It is painless and he has no…

Problem 33 Cough, dyspnoea and fever in a 55-year-old man Narin Bak A 55-year-old man presents with 3 days of anorexia, headache, general weakness, aches and pains all over his…

Problem 30 Recurrent collapse in a 56-year-old truck driver Jamie Layland A 56-year-old truck driver presents to the emergency department with a 6-month history of recurrent episodes of loss of…

Problem 26 A 41-year-old man involved in a car crash Andrew W. Perry A 41-year-old man is brought in by ambulance to the emergency department of a tertiary hospital with…

Problem 53 Acute respiratory failure in a 68-year-old man Stephen W. Lam Having just finished congratulating yourself for managing your last case so well, you are called to see a…

Problem 25 A 68-year-old woman with a leg ulcer Robert Fitridge A 68-year-old woman attends the outpatient department with an ulcer on her left leg. She tells you it has…

Problem 48 Severe dehydration in a young woman Sanghamitra Guha An 18-year-old girl is brought into the emergency department by ambulance from a youth hostel. She is a backpacker and…

Problem 54 A listless 45-year-old man Cyril Sieberhagen, Jonathan Mitchell A 45-year-old schoolteacher is referred by his GP with deranged liver function tests. He presents with a 1-year history of…