A patient in the ICU having fever since 1 week. He empirically started on a ceftriaxone AND amikacin.
the pus sent for culture after 48 hours blood culture report showed klebsiella with ESBL, what is the
A 2-year-old boy is brought to accident and emergency for the sixth time and is found to have a right-sided non-displaced transverse fracture of his tibia.
His parents state that he was running in the living room and tripped landing on a toy truck. He has broken his other leg
A 49-year-old woman presents to a private clinic expressing her desire to become pregnant.
She has no past medical history.
Initial investigations show that she still has ovarian function, is ovulating and is having regular periods.
An ultrasound of her pelvis shows no s
A 25-year-old woman attends accident and emergency with an exquisitely sore, large swelling of her vagina which she noticed only a couple of days before.
It has steadily got much bigger. On examination there is a soft fluctuant mass on the right labia minora which is very tender
A 3 year old is brought into accident and emergency by ambulance following a generalized tonic clonic seizure that lasted 2 minutes. She did not require any treatment to stop the seizure but on arrival the ambulance crew measured her temperature as 39.2°C a
A 16-year-old girl presents to your surgery with a history of unprotected sexual intercourse (UPSI) 70 hours ago. Her last menstrual period was 8 days ago.
Her only past medical history of note is that of epilepsy which is well controlled by carbamazepine. She is worried about