[ad_1] This episode has been a long time in the making- presenting Pulmonary Embolism, part 1. PE is a deadly diagnose that we frequently have to consider in the ED. The presentations can be very varied but we need to know how to work up this disease while avoid unnecessary testing and harm to our…
[ad_1] The following chest x-ray images are from a man in his 30s who has presented with chest pain and dyspnoea that has persisted for the past few weeks. What imaging sign can you see and what could be the diagnosis? click to enlarge click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The chest x-rays show ‘hilum overlay’ sign….
[ad_1] A 51yr old presents with a post-prandial episode of syncope and subsequent sensation of episodic pre-syncope. No relevant past medical histroy or medications. This is her ECG. This entry was posted in ECG of the Week by Jaclyn Chin. Bookmark the permalink. [ad_2] Source link
[ad_1] A 50 year old woman with type 1 diabetes mellitus is brought in by ambulance with analtered conscious state. Describe and interpret her investigations Serum biochemistry and arterial blood gas FIO2 0.50pH 7.05 …
[ad_1] Critically unwell patient in shock requiring immediate resuscitation and further investigation of underlying illness. Triple disorder (normal pH) 1. Hypokalaemic hypochloraemic metabolic alkalosis – classically occurs with gastric outlet obstruction This patient had a gastric outlet tumour causing obstruction Consider other causes of metabolic alkalosis 2. Respiratory acidosis – likely COPD (chronic CO2 retention)…
[ad_1] The following pelvic x-ray is from a 15 year old male. He was running when he heard a ‘pop’ sound and collapsed onto the ground, following which he noted pain around the right groin and down to the knee. What can you note in the x-ray? click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The pelvic…
[ad_1] Two ECG’s this week from a 76yr old female who presented complaining of palpitations and dysponea.She has a history of paroxysmal atrial fibrillation and chronic smoking related lung disease.Medications include warfarin, calcium channel blocker, and other non-cardiac related medications.The first ECG was performed when the patient arrived, the second ECG was performed not long…
[ad_1] 77 year old male presents with 3 weeks of reflux, vomiting, lethargy. Has passed small amounts of urine in the last 2 days. Vitals; BP 88/60, PR 90/min, T 35.8, GCS 15 Describe and Interprete the following venous gas pH 7.439 …
[ad_1] 50 year old with MND: pH 7.122 severe acidaemia pCO2 108 severe respiratory acidosis compensation – if acute expected HCO3 = 31 if chronic expected HCO3 = 52 actual HCO3 = 38 => acute on chronic respiratory acidosis pO2 171 – high –??supplemental oxygen O2 sats 98% within normal limits unable to calculate A-a…
[ad_1] The following ultrasound images are from a 38 year old, with a h/o 8 weeks LMP, who presented with PV bleed. What radiological sign can you see in the images? click to enlarge click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The ultrasound images (transverse and longitudinal) show multiple cysts occupying the uterine cavity, giving rise…