This is a critically unwell child requiring simultaneous resuscitation and assessment to identify the underlying cause with appropriate interventions. Continue reading
A 2 year old boy is brought in to ED by his grandparents, having found him unresponsive at their home. He has no significant past medical history.
On examination he is drowsy with a GCS of 7 (E2V1M4) and has the following observations:
BP 80/50 mmHg
O2 sats 100% on 2 litres nasal cannula
His VBG is as follows: Continue reading
The chest x-rays are from a 50 year old chronic smoker presenting with chest pain and cough. What can be seen? Continue reading
1. Describe and give the likely cause
Uncompensated high anion gap metabolic acidosis with hyperglycaemia and high lactate, due to diabetic ketoacidosis with shock and peripheral hypoperfusion Continue reading
A 17 year old male previously healthy, presents to your ED feeling unwell with a fever.
BP = 100/70, PR = 105/min, RR 25/min Continue reading
This frontal chest x-ray is from a 43 year old with exacerbation of asthma. What can you glean from the x-ray? Continue reading
Elderly man, critically unwell.
An 82 year old man presents to your ED after a syncopal episode. He complains of abdominal pain and diarrhoea. On examination he has a heart rate of 105/min and a BP of 95/65. Rectal examination confirms black, foul smelling stool. His blood results are as follows:
The following chest x-rays are from a 72 year old who has a history of COAD, who has presented with a fever, cough and dyspnoea. What can you infer from the x-rays? Continue reading
1. Describe and Interpret
8 year old girl with oedema and dark urine presents with:
renal failure – Urea 12.1, Creat 101
evidence of infection – WCC 16, N 12.6
haematuria and pyruria on urinalysis – leucs>100, RBC>100 Continue reading