Vascular diseases of the carotid and limbs

A 72-year-old woman with atrial fibrillation who stopped her anticoagulant six months ago after a nosebleed wakes at 3 am with sudden severe pain in her left le…

Pre-internship · middle twist

A 71-year-old woman attends a community nursing service with a shallow ulcer above the left medial malleolus present for 8 weeks. The surrounding skin is brown-…

Clinical rotations · middle twist

A 72-year-old woman presents with an ulcer above her left medial malleolus that has been present for eight weeks. She has type 2 diabetes and smoked a packet of…

Clinical rotations · middle twist

A 74-year-old woman presents with severe pain in her left leg that began abruptly two hours ago while she was sitting watching television. She walks to the shop…

Clinical rotations · common

A 72-year-old man presents three days after an episode of weakness of his left arm and leg with slurred speech, which resolved completely within 20 minutes. He…

Clinical rotations · common

A 72-year-old man presents to the emergency department with a sudden onset of severe right leg pain over the past 3 hours. He also reports numbness and weakness…

Clinical rotations · middle twist