Vomiting with rapidly worsening confusion needs early ammonia testing before ICU delirium sedation and refractory ventricular fibrillation pad checks follow.
Post-exertional muscle pain with hyperkalaemic ECG changes needs urgent action, while chest pain, head injury and paediatric lethargy need reassessment.
New multifocal intracranial stenosis demands mechanism-focused stroke reasoning before trauma haemorrhage, work injury records and kidney cancer adjuvant decisions.
Chronic red legs need heat, laterality and elevation checks before antibiotics; aspiration-related nodules and haemorrhage control add higher-acuity lessons.
Persistent infant diarrhoea plus severe infections should raise severe combined immunodeficiency; measles communication and neuroscience funding also shape care.