[ad_1] The following frontal chest x-ray is from a 65 year old with chronic dyspnoea. Which cardiac chamber enlargement can be observed? Answer will be posted on 1/7/15. This entry was posted in Advanced EM Cases, Cardiology, EMergucate by Topic, Imaging Case of the Week by Prathibha. Bookmark the permalink. About Prathibha FACEM, Advanced…
[ad_1] A 58 year old man has been behaving oddly at home for the last few days and is brought to your ED by the police and ambulance personnel. He required 5mg of IM midazolam to facilitate his transfer to hospital. On arrival to your ED he has a GCS of 4/15 Vital Signs: BP…
[ad_1] A 30 year old ama presents with weakness and profound hypokalaemia 1. Profound hypokalaemia requiring cardiac monitoring and K replacement … Continue reading → [ad_2] Source link
[ad_1] The supine chest x-ray shows a deep sulcus sign on the left, which is a radiological sign seen in supine patients with pneumothorax. The deep sulcus sign represents lucency of the lateral costophrenic angle extending towards the hypochondrium. In a supine patient, air in the pleural space tends to accumulate anteriorly and basally within the…
[ad_1] A 30 year old man presents to your Ed with a 24 hour history of increasing weakness. An ABG and electrolytes are performed: pH 7.25 (7.36-7.44) pCO2 29 (35-45 mmHg) pO2 101 mmHg FiO2 Room air HCO3 13 (22-26mmol/l) BE -13 (-2-2) Na 137 (135-145 mmol/l) K 1.8 (3.2-4.3 mmol/l) Cl 116 (99-111 mmol/l)…
[ad_1] Unwell patient with weakness presents with: 1. Compensated anion gap metabolic acidosis (AG 34) Additional metabolic alkalosis (Delta gap >2) … Continue reading → [ad_2] Source link
[ad_1] The following supine chest x-rays from a 52 year old patient were obtained in the resuscitation area following presentation post MVA. What radiological sign can be seen? Answer will be posted on 24/06/2015. This entry was posted in Advanced EM Cases, EMergucate by Topic, Imaging Case of the Week, Resus by Prathibha….
[ad_1] The supine chest radiograph shows a Naclerio’s V sign, a radiological feature of pneumomediastinum. There is a V shaped lucency near the left lower heart. This is air outlining the lower part of the descending thoracic aorta and the medial part of the left hemi-diaphragm, as shown below. The left pericardium is elevated, suggestive…
[ad_1] A 62 year old man presents to your ED by ambulance. He has had vomiting and diarrhoea for the last week and complains of abdominal pain. He is unable to keep anything down, has severe weakness with inability to stand. PMH: Femoral bypass one week ago Type II DM on insulin Peripheral vascular disease…
[ad_1] Effects of hypoxia in COPD The most dangerous effects of hypoxia in COPD are sudden cardiac arrest and irreversible damage to the vital organs. Significant hypoxia for more than 4 – 6 minutes is already enough to cause sudden cardiac arrest. (Murphy et al, 2001) A number of studies recommend keeping a PaO2 of…