The following skull x-ray is from a 3 year old with a history of a head injury 72 hours prior to presentation. He had a fall in the playground with no LOC and one incidence of vomiting post-injury. After suffering the injury, he had been observed in the ED for 4 hours, remained well and was then discharged home. He has now been brought in by his parents as he’s been irritable since the initial discharge. On examination, the only finding is a boggy swelling in the right parietal area. A skull x-ray was performed by the treating physician; what can be observed? Continue reading
A critically unwell 70 year old man.
His blood results show: Continue reading
A 70 year old man presents to your ED feeling unwell with abdominal pain and vomiting for two days. He has a history of NIDDM, HTN and high Cholesterol. He is immediately triaged to your resuscitation bay, placed on 15 litres oxygen by non rebreather mask and iv access is obtained.
BP = 160/50
T 37.5 Celsius
His ABG and blood results are as follows Continue reading
The following facial x-ray (OM view) is from a 25 year old who has been punched in the face and has presented with pain, swelling and bruising around the left eye. What can be seen? Continue reading
70 year old patient critically unwell, with life threatening hyperkalaemia requiring non invasive cardiac monitoring in resuscitation bay and urgent reduction of potassium.
The following shoulder x-rays are from a 62 year old with a history of renal cell carcinoma. The patient has experienced a minor fall and is complaining of pain in the left shoulder area. What can be noted in the x-rays? Continue reading
A 70 year old man presents after feeling acutely unwell a few hours ago. He complains of weakness, lethargy and a painful knee. On examination he is diaphoretic and looks unwell.
He is currently on treatment for diabetes, heart failure, AF, HTN
T 36 celsius
His blood results are as follows: Continue reading
The following right foot x-rays are from a 5 year old with a history of recent onset limp. What can be observed? Continue reading
80 year old man, tachypnoeic, borderline hypoxia with… Continue reading
An 80 year old male presents from home with 2 days of worsening of shortness of breath. He has a history of chronic airways disease and was recently hospitalised for repair of an Internal Iliac artery aneurysm.
BP 160/60 mmHg
Saturations 95% RA
An ABG was performed: Continue reading