A middle-aged woman with newly diagnosed autoimmune hepatitis on high-dose prednisolone (50 mg daily) presented acutely with 3 days of fever with headache, followed by an acute change in mental state a day before hospitalisation. Clinically, she was slightly drowsy (GCS = 12) and disoriented, with neck stiffness and photophobia. The urgent non-contrast CT head […]

This is a more “specialised” and technical clinical vignette. An elderly man was admitted to the intensive care unit (ICU) for acute respiratory distress from pulmonary oedema, and required intubation with mechanical ventilation. He had multiple co-morbid conditions including diabetes mellitus, hypertension, hyperlipidaemia, and ischaemic heart disease (with left ventricular ejection fraction of 35%). Three […]