Imaging Case of the Week 142

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

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Lab Case 47

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.

Vitals:

BP = 160/50

PR 115/min

T 37.5 Celsius

RR 40/min

His ABG and blood results are as follows Continue reading

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Lab Case 46

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

Vitals:

BP 160/50

PR 50/min

RR 22/min

T 36 celsius

His blood results are as follows: Continue reading

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Lab Case 45

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.

Vital Signs:

BP 160/60 mmHg

PR 88/min

RR 26/min

Saturations 95% RA

An ABG was performed: Continue reading

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