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
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
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
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
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
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
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
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
The stem suggests:
severe sepsis ( vital signs show a SIRS response)
Consider stage of cancer and intervention required.
Risk of Pulmonary embolism. Continue reading