The following ECG is from a 60-year-old male who has presented with 5 days of central chest pain and epigastric pain which radiates between his shoulder blades.
His observations demonstrate a mild tachypnoea and 2L nasal prong oxygen requirement.
Describe and interpret his ECG. Outline your management of this patient.
80 year old man presented with shortness of breath. This patient had history of CHF and COPD. His venous blood gases showed the following
PH = 7.39, that is within the normal range.
pCO2 = 30 mmHg, that is slightly low. This patient might have respiratory alkalosis.
Next, we should look at the compensation for respiratory acidosis. (This patient is 2 years old. The condition will be acute).
The following knee x-rays are from an adult who has knee pain & swelling after a twisting injury to the knee. What can be seen? Continue reading
This week our case involves complications around elective cardioversion. The following are rhythm strips for a DCCV involving a 150J shock and a second 200J shock
What is your management of this patient?
What potential complications should you discuss with a patient when consenting for DCCV?
The following elbow x-ray is from an adolescent who has pain & swelling in the elbow after a fall on outstretched hand. What can be seen? Continue reading
A 23yr presents following a syncope, he denies chest pain. The following ECG is taken:
What does this ECG demonstrate?
What are the important differential diagnoses in a young adult with syncope?
2-year-old boy brought to ED by ambulance as category 1 for severe croup. His blood gases showed the following.
PH = 7.39
PH = 6.782, that is severe acidaemia.
HCO3 = 2.5 mmol/L, that is extremely low. So we have metabolic acidosis.
Next we need to calculate the compensation and find out what type of metabolic acidosis this patient has.
The x-ray is from a toddler with fever and abdominal pain. What can be seen? Continue reading