Emergency Medicine & Critical Care

Interesting case in the ECG of the week. Our interpretation doesn’t always correlate with the real pathology. Source link

This supine abdominal x-ray is from a 60 year old patient who has presented to the ED with abdominal pain and vomiting. Anatomically, which part of the small bowel is obstructed? click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The supine abdominal x-ray shows likely distal jejunal obstruction. The dilated jejunal loops are centrally located and have a ‘stacked…

What would you do for this chest pain patient with this ECG? Source link

This supine abdominal x-ray is from a 20 year old male patient who presented with fever, abdominal pain and bloody diarrhoea which he has had for 10 days or so. What radiological sign can you see? click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The abdominal x-ray shows normal calibre bowel loops; there is no evidence of bowel…

What’s the rhythm in this ECG? Source link

This is the supine abdominal x-ray of a 25 year old who is intoxicated and has been complaining of abdominal pain with vomiting. She has presented to your facility with multiple overdose attempts before. What can you see? click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The abdominal x-ray shows clumped radio-opaque tablets in the stomach. Family members later on found…

A 40 year old man presents following a large overdose of an antispasmodic agent. Check out his ECG     Source link

This is the shoulder x-ray of a 16 year old patient who has sustained injury following a fall onto his left shoulder while playing rugby. Patient is not tender over the head or neck of humerus. What can you see? click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The shoulder joint area appears normal and the lateral view was fine too….

The following erect PA chest x-ray is from a 65 year old female patient with exertional dyspnoea and orthopnoea. There is an obvious cardiomegaly. What is the underlying valvular pathology? click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] This patient had mixed mitral valve disease diagnosed on echocardiogram. The 3 abnormalities suggestive of left atrial enlargement on the chest…

This thumb x-ray is from a 15 year old patient who fell on his outstretched hand and sustained an injury to his left thumb. What can you see ? click to enlarge click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The x-ray shows avulsion fracture of the base of the medial aspect of proximal phalanx of the thumb. This fracture…