This patient has a severe hypochloraemic metabolic alkalosis, with an additional respiratory alkalosis. There is also a severe lactic acidosis (so there must be an additional component of a metabolic acidosis present) Continue reading
These wrist x-rays are from a 45 year old with left wrist swelling and pain who sustained the injury in a motor vehicle accident. What can you observe in the x-rays? Continue reading
The venous blood gas below is from a 29 yr old male who presented complaining of vomiting, dizziness and felling ‘vague’.
36 year old lady with a triple acid – base disorder:
Severe high anion gap metabolic acidosis
Normal anion gap metabolic acidosis
Respiratory acidosis Continue reading
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