This is the chest x-ray from a 40 year old man who has presented to the emergency department with a cough and mild dyspnoea. Anything obvious on the x-ray? Click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The chest x-ray shows clear lung fields.There is no pleural effusion and no pneumothorax. The left diaphragm is higher compared to…
We’re back with a new episode of Essential Evidence. This article is from Academic Emergency Medicine March 2009 and it talks about getting blood cultures in well appearing kids aged 3 to 36 months. We used to get a lot of blood cultures in these well appearing kids with fever but this article was the…
This KUB xray is from a 55 year old diabetic man who presented to the ED at about 3am with unilateral colicky abdominal pain.You suspect he is suffering from ureteric colic. What does the xray show? [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The x-ray does not show any radio-opaque calculus in the kidney ureter bladder area. There is an incidental…
A 34 year old woman who is 3 days post-partum has presented with a sudden onset of central chest pain at 3 am. She has no previous medical illness. As part of investigations, a chest x-ray has been done and is as follows. What is seen on the x-ray? (It is very subtle) Click to enlarge [peekaboo_link…
You have just seen a previously well 5 year old with a history of left sided limping. According to the mum, the patient has had this problem for many weeks and the symptoms seem to be getting worse after a trivial fall sustained 24 hours ago. The mother is worried that her son might have sustained a fracture. Pelvic and…
A 57 year old man presents with mid thoracic back pain that has been keeping him awake at night for the past few weeks. The thoracic spine x-rays are enclosed. What can you see? Click to enlarge Click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The xray shows complete sclerosis of the T5 vertebra. There is…
It is 1 am on a Saturday night. You are about to see a 30 year old man who has been assaulted at a pub. The left side of the patient’s face is swollen and the facial x-rays are as follows. What can you see? Click to enlarge Click to enlarge [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The OM…
EM Basic is back and ready for the new year. We see various eye complaints a lot in the ED. This episode will review common eye complaints, their treatments, and a bonus section on how to do a lateral canthotomy. Category:general — posted at: 12:10am EDT Source link
This chest x-ray is from a 70 year old who has presented with dyspnoea and fever. What can you see? [peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”] The chest x-ray shows right middle lobe collapse and patchy air space opacities involving the left lower and mid zones. Right middle lobe collapse is visible on the x-ray as a…
Here’s a checklist for discussing or describing a procedure – whether it’s for an exam question or just for kicks… Opening statement (preamble/history) First, check indication valid and no contra-indications: Indications Contraindications Preparation Area Staff (training, credentials, universal precautions) Equipment Monitoring Procedural Drugs Information (Past Medical History, etc) Patient Explanation Reason Risks Alternatives Informed Consent…