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PICTURES FROM THE FELLOWSHIP EXAM

One of the exam favourites is to give you a picture. The idea is that it either gives a spot diagnosis, or forms the basis for a significant discussion.

When you think about this, don’t get too discouraged. In your career, you’ve seen most things. In the same way as there are only a finite type of ECG diagnoses, there are only a finite number of illustrations. The examiners love certain types of pictures. If you look at these few examples from past exams, its obvious that eyes are a favourite and if you look closely, so are necks.

Try the following examples and see what you can make of them.

4 yo boy with an injury to his right eye, sustained after a small rubber ball was thrown by his brother earlier that day.

Interpret the photograph. What are the possible complications?

A 7 year old boy is brought to the emergency department by his teacher following an injury to the left eye that morning.

Describe and interpret the photo and outline your management.

A 12 year old boy presents with a 2 day history of sore throat and fever. Describe and interpret the photograph and describe your initial management.

A 35 year old male presents to the emergency department with difficulty breathing.

He is on enalapril for hypertension and amoxycillin for a throat infection. He has no known allergies.

What does the photo show? Outline your management.

A 65 year old man is brought to the emergency department with burns after his clothes caught on fire whist he was starting a fire in his fireplace. Outline the principles of his management.

A 25 year old man presents with a 4 day history of left eye pain, photophobia and decreased vision. Interpret the photograph and outline what further history and examination is important.

A 65 year old male presents with painless loss of vision to his left eye. His fundoscopic examination is shown below. What does this show and what are the underlying causes?

A 54 year old woman presents to the ED with three days of painful swelling in her left wrist and hand. Describe and interpret the photograph.

A 2 1/2 year old girl presented with a history of injuring her feet on hot bitumen. The feet have been cleaned. Describe the photograph and outline the management issues.

A 6 year old girl has been brought into the emergency department with a fever of 38 degrees and a painful right eye. Describe the photograph and outline the features you would seek in your examination.

An 8 year old boy is brought by his parents to your emergency department 20 minutes after a motor vehicle accident in which he was restrained as a rear seat passenger. Describe and interpret the photograph.

A 4 year old boy is brought in by ambulance after a 4 wheel drive vehicle accidentally reversed over his lower body an hour earlier. On arrival he has severe pain and a GCS of 15 and a blood pressure of 70/40 mmHg. After immediate intubation and fluid resuscitation a log roll is performed. Describe the photograph and outline the most likely injuries.

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