[ad_1] The supine abdominal x-ray indicates severely dilated large bowel loops with mucosal oedema (as per the thumb printing sign). The erect abdominal x-ray show multiple air fluid levels. The x-ray is concerning for a toxic mega colon, a well-known complication of ulcerative colitis. A CT scan of the abdomen confirmed the diagnosis. This…
[ad_1] A 77 year old presents with symptoms and signs that suggest pneumonia after recent return from Bali Mixed respiratory alkalosis … Continue reading → [ad_2] Source link
[ad_1] A 77 year old man presents with confusion, shortness of breath and fever. He recently returned from Bali. BP 145/91 HR 95/min Temp 38.9 Sats 98RA Describe and interpret his arterial blood gas pH 7.502 (7.36-7.44) pCO2 24 mmHg (35-45) pO2 80 mmHg HCO3 18.6 mmol/l (22-26) BE -2.3 Na 136 mmol/l (135-145) K…
[ad_1] Vacations are meant to relax and rejuvenate us, and they usually do. What’s more relaxing than sipping Mai Thai’s on a beach basking in the sun? After all, you’re on vacation and it’s time to live it up! However, between all the extra sugar and food indulgences, long flights, and continuous hours in the…
[ad_1] These erect and supine abdominal x-rays are from a 35 year old experiencing severe abdominal pain and vomiting, and with a history of ulcerative colitis. What do the x-ray images indicate? Answer will be posted on 30/03/2016. This entry was posted in Advanced EM Cases, Imaging Case of the Week by Prathibha. Bookmark the…
[ad_1] The chest x-ray shows a widened mediastinum with a lack of delineation of the aortic knuckle. The left main bronchus appears depressed. The patient then had a CT scan of the chest, which revealed an ascending aortic aneurysm and a Stanford A aortic dissection. This entry was posted in Advanced EM Cases, Imaging…
[ad_1] A 59 year old man, acutely unwell presents with vomiting and abdominal pain Compensated hyponatraemic, hypokalaemic, hypochloraemic metabolic alkalosis without … Continue reading → [ad_2] Source link
[ad_1] A 59 year old man presents to your ED with epigastric pain and vomiting. He is tender in the epigastrium with good bowel sounds. He has been losing weight recently and complains of some vague backache over the lower thoracic spine . His blood results: pH 7.54 (7.36-7.44) pCO2 54 (35-45…
[ad_1] A 38 year old with a history of sudden chest pain radiating to the neck and back has presented to the ED. What can be observed from the chest x-ray images?Answer will be posted on 23/03/2016. This entry was posted in Advanced EM Cases, Cardiology, Imaging Case of the Week by Prathibha. Bookmark the…
[ad_1] The frontal and lateral thumb x-rays show a lucent area involving the distal phalanx with irregular dorsal cortex. The patient went on to have a CT of the left thumb, which showed lytic destruction of the distal phalanx, with a sequestrum confirming osteomyelitis. Blood cultures were negative. A bone biopsy revealed staphylococcal growth. The…