The erect abdominal x-ray shows the ‘String of Beads’ sign, which is caused by a line of gas bubbles trapped between the valvulae conniventes. This sign is seen when the dilated small bowel is filled with fluid and is diagnostic of small bowel obstruction. The supine abdominal film shows the ‘Stack of Coins’ sign; this…
If your budget would only allow you to invest in one area of your business this quarter, would you invest in developing your products or your people? Would you enhance your systems or your staff? Providing coaching to personnel from their direct manager could be an investment that continues to pay returns. The Sales Executive Council conducted…
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As my ST4 year draws to a close, I am fortunate enough to be spending the last few weeks of it in Baltimore thanks to Medic One and The Robin Mitchell Fellowship. I was awarded the fellowship back in February and I have been hotly anticipating the opportunity to have time to develop myself, learn…
50 year old male presents post heroin OD VBG Respiratory acidosis – pH 7.17 pCO2 84mmHg Compensation – Expected HCO3 – use 10 to 1 rule, therefore expected HCO3 – 28.5mmol/l Mildly raised lactate and BSL The VBG shows a respiratory acidosis with adequate compensation with an expected HCO3 almost the same as the measure…
50 year old male presents to ED after a heroin OD. The patient had CPR on scene and responded to imi naloxone given by the ambulance. On arrival to ED BP 120/80 HR 75 Sats 93%RA Apyrexial RR6 and GCS 12. VBG pH 7.17                                                BSL 8.4 pCO2 84mmHg        …
Most growers love the idea of re-using their soil, but it can be a bit daunting for a variety of reasons. In this blog post, I’m going to review what the advantages and disadvantages are, as well as lay out a simple plan you can follow. Advantages: The advantages of re-using your soil are numerous….
Plastic Free July is upon us! And while the idea of not buying anything in plastic for a month might seem daunting, we’ve made it a little easier by compiling this list of very easy substitutes you can make. We will also have Plastic Free labels in our stores next to our plastic free products….
The following abdominal x-rays are from a 30 year old with abdominal pain and vomiting. What two radiological signs can be seen?Answer will be posted in a few days. Â This entry was posted in Advanced EM Cases, Imaging Case of the Week and tagged abdominal x-ray by Prathibha. Bookmark the permalink. About Prathibha FACEM,…
The frontal chest x-ray shows outward bulging of the left heart border, which is suggestive of left ventricular hypertrophy. The ascending aorta is dilated; the outer wall of the ascending aorta almost parallels the right heart border and this is due to post-stenotic dilatation. Overall, these findings are indicative of stenosis of the aortic valve….