36 year old lady with a triple acid – base disorder:
Severe high anion gap metabolic acidosis
Normal anion gap metabolic alkalosis
Respiratory acidosis Continue reading
Lab case 27 – Interpretation
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Lab Case 27
A 36 year old female presents to your ED with abdominal pain and vomiting for 4 days. She has a heavy alcohol intake. On examination she has epigastric and RUQ tenderness.
Vitals :
BP 110 systolic
PR 125/min
RR 24/min
Describe and Interpret her blood results Continue reading
Imaging Case of the Week 110
These x-rays are from a 28 year old who has presented with forearm pain and deformity following a fall on his outstretched right hand. What can be seen? Continue reading
Lab case 26 – Interpretation
A 7 year old unwell child presents with a diarrhoeal illness. Her FBC and UEC show anaemia, thrombocytopaenia and renal failure. There is evidence of infection ( elevated WCC). These results are classic of Continue reading
Lab case 26
A 7 year old girl presents to your ED with a 5 day history of diarrhoea and feeling generally unwell. The patients mum reports episodes of blood and mucous in the stool. She is tachycardic and appears unwell. Continue reading
Imaging Case of the Week 109
The following right forearm x-rays are from a 16 year old who is experiencing forearm swelling and deformity after a fall on outstretched hand. What can you note on the x-rays? Continue reading
Lab case 25 – Interpretation
A 22 year old female with severe hypochloraemic, hypokalaemic compensated metabolic alkalosis. She has moderate hyponatraemia, volume depletion (high Urea, lactate). There is also mild hypercalcaemia. Continue reading
Lab Case 25
A 22 year old female presents to your ED with vomiting and abdominal pain. She is on Methadone and has failed to refill her prescription, so has been injecting Heroin over the last 2-3 days.
Describe and Interpret: Continue reading
Imaging Case of the Week 108
The following x-rays are from a 30 year old male who has presented with left wrist pain after a fall on his outstretched hand. What can you see? Continue reading
Needle Thoracostomy
Purpose (Description)
Indication
- Immediate decompression of suspected tension pneumothorax