A paraplegic male presents with a chronic, infected Grade 4 pressure ulcer over the right ischial tuberosity, with exposed bone and possible osteomyelitis. Management is multidisciplinary with infection control, pressure relief, nutritional support, debridement, and flap reconstruction.
A patient with a prior tibial fracture plating presents with suspected post-traumatic osteomyelitis. Management includes imaging, bone biopsy, and the orthoplastic approach — early debridement, soft tissue coverage, and antibiotics.
Apert syndrome presents with craniosynostosis, midface hypoplasia, and complex syndactyly affecting the upper limbs. The Upton classification helps guide surgery for hand anomalies, with staged interventions to improve function and appearance.
A 97-year-old diabetic woman with a 3-month-old foot wound. History includes wound duration, diabetes control, and treatments. Exam focuses on wound depth, vascular status, and sensation. Chemical debridement, NPWT, and silver-impregnated foam dressing promote healing and infection control.
A 51-year-old woman has persistent pain and sweating asymmetry one year after ORIF for a distal radius fracture, suggesting CRPS. The Budapest criteria support the diagnosis. Treatment includes physical therapy, medications, and interventions like sympathetic blocks.
A patient with a growing sternal mass, initially thought to be a lipoma, is diagnosed with undifferentiated pleomorphic sarcoma. Management includes staging, wide local excision, and possible radiotherapy. Reconstruction options involve pectoralis major or free ALT flap for the sternal defect.
A patient presents with trigger finger in the right middle finger. Initial treatment includes activity modification, splinting, NSAIDs, and a corticosteroid injection. Due to persistent symptoms, A1 pulley release surgery is planned, ensuring the A2 pulley is preserved to prevent bowstringing.
A patient with a mallet finger injury is unable to extend his fingertip. X-rays show a small bony avulsion fragment. This is a closed, bony mallet injury classified as Doyle Type I. Management includes continuous splinting of the DIP joint in extension for 6–8 weeks.
A postpartum woman presents with radial wrist pain. Diagnosis of De Quervain's is confirmed with a positive Finkelstein test. Initial treatment includes rest, splinting, NSAIDs, and corticosteroid injections. Surgery is considered if symptoms persist after conservative management.
A patient with a history of mastectomy and axillary lymph node dissection presents with progressive swelling in her left arm. Lymphoedema is suspected, classified as Stage II. Treatment includes complete decongestive therapy, and surgical options like Vascularized Lymph Node Transfer (VLNT).
A patient seeks NAC reconstruction post-DIEP flap. NAC reconstruction is indicated post-mastectomy, breast reduction, congenital absence, trauma, or gender-affirming surgery.
A patient with bilateral arm paraesthesia and heaviness, along with a history of sciatic nerve injury and crutch use, is diagnosed with thoracic outlet syndrome (TOS) through clinical examination and imaging. Treatment includes physiotherapy, pain management, and surgical decompression.
A patient with pain and breast shape changes presents with bilateral capsular contracture post-augmentation (Baker III left, IV right). Assessment includes history, exam, & MRI. Treatment options are implant removal, capsulectomy, pocket change, or autologous augmentation.
A patient presents with a firm, non-compressible swelling at the left eye's outer corner, apparent since birth but worsening.
A 40-year-old woman presents with a 2x2 cm mass near her ring finger's DIPJ, painless and unchanged for 3 months.
A 3-year-old presents with isolated macrodactyly of the right index finger. The case discusses history taking, aetiology involving a Pi3KCA gene mutation, necessary investigations, a treatment algorithm, and the role of medical treatments.
Breast augmentation consultation: A patient seeks fuller breasts. Steps include assessing medical history, expectations, and explaining implant options.
A patient presents with severe, sharp thumb pain and bluish nail discoloration, suggesting a glomus tumor.
A newborn presents with a limp left arm since delivery, suspected of congenital brachial plexus palsy.
A 57-year-old woman presents with signs of deep sternal wound infection (DSWI).
A 65-year-old male farmer presents with stiffness and contracture in his middle finger, impacting daily activities.
A 45-year-old male experiences numbness and tingling in his right ring and little fingers, suggesting ulnar tunnel syndrome.
A 52-year-old woman presents with numbness in her right thumb, index, and middle finger, and pain in the anterior forearm.
A 2-month-old presents with right chest wall hypoplasia and syndactyly of three middle digits.
Gynaecomastia Case: A 35-year-old man presents with 6-month breast enlargement. Objectives include history-taking, identifying investigations, and treatment options.
A 39-year-old woman with forearm pain and inability to flex the thumb and index finger joints likely has Anterior Interosseous Nerve Syndrome (AINS).
A 41-year-old woman presents with a slow-growing, numb, tingling lump on her index finger, indicative of a Schwannoma. Management involves surgical excision under local anesthesia, with emphasis on potential complications and post-operative care including physiotherapy.
This clinical scenario examines the diagnosis, treatment and staging of Merkel Cell Carcinoma.
An 8-year-old girl presents with a growing, pale pink mole on her face. Dermoscopic examination shows a symmetric pattern with rounded structures, suggesting a classic Spitz nevus. Management includes regular monitoring and possible excision if changes are observed.
A 37-year-old construction worker suffers a ring avulsion injury to his middle finger, classified and managed using Urbaniak's system.
A 5-year-old presenting with nail avulsion in the middle finger likely has a Seymour fracture. This clinical case focuses on clinical assessment, investigations, treatment and complications
A 33-year-old skier presents with thumb pain after a fall causing radial deviation. Suspected acute UCL injury prompts differential diagnosis, valgus stress tests, and imaging.
You're presented with a swollen, painful joint in a patient's left hand, suspected of septic arthritis. The focus is on detailed history, precise examination, targeted investigations, and tailored treatment to manage infection and prevent complications.
A 40-year-old tree surgeon presents with left index finger swelling and pain following a recent injury, suggestive of flexor tenosynovitis. Diagnosis focuses on rapid identification and management of this potentially severe infection.
A 45-year-old male presents with severe pain, swelling, and blistering of the right leg after a minor injury, suggesting necrotising fasciitis. Immediate clinical focus is on identifying pathognomonic signs and initiating swift, effective treatment.
Delve into ulnar nerve pathology to understand its anatomy, potential compression sites, and clinical manifestations. Learn to identify compression locations, make evidence-based decisions on investigations, and explore both nonsurgical and surgical treatment strategies
In this scenario, learners will diagnose and manage a ganglion cyst, determine its origin, understand its causes, select appropriate investigations, and make evidence-based treatment decisions.
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exams.
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exams.
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of both practice and exams.
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of both practice and exams
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of both practice and exams
20 questions assessing your expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exams.
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exam
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exam
This assesses your clinical expertise, decision-making, and management skills through an oral "viva" structure, using real-world scenarios representative of clinical practice and exams
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