A 52 year old female presents with 2 days of left sided weakness, started in the calf and now has difficulty walking. She had a similar episode in May which self resolved.
Her blood tests show: Continue reading
A 52 year old female presents with 2 days of left sided weakness, started in the calf and now has difficulty walking. She had a similar episode in May which self resolved.
Her blood tests show: Continue reading
A 60 year old male presents with 1 week history of vomiting. In the last 24 hours the family noted that he was confused and poor to respond. Background – IHD, HTN, NIDDM on Metformin, Coversyl, aspirin, metoprolol.
On arrival he was confused.
Vitals: BP 80/40 HR 46/min Temp 34 RR 24/min and GCS 10 Continue reading
An 80 year old women with severe anaemia secondary to GI bleed Continue reading
An 80 year old lady is brought in to the ED complaining of tiredness and rectal bleeding. Past medical history includes chronic renal failure, CCF/ pulmonary oedema and anaemia. She has known GI AV malformations with previous bleeding episodes.
Her blood results show: Continue reading
A 34 year old with 3 renal transplants and parathyroidectomy presents after a seizure.
Causes for seizure include Continue reading
A 34 year old woman is brought to ED by ambulance. She is travelling WA with her partner, who witnessed her lose consciousness, bite her tongue and experience jerking of her arms and extended legs for 2 minutes, followed by a period of confusion. she was back to normal within 20 minutes. Continue reading
27 year old with GCS 7 but haemodynamically stable presents with Continue reading
A 27 year old man is brought to your ED after being found collapsed at home. On examination he has a GCS of 7 (E1,V2,M4)
Observations on 8 litres Hudson mask:
PR 105/min
RR 38/min
T 37
BP 130/80
Describe and interpret his blood results
List and Justify your further investigations Continue reading
A 6 year old is brought in to your ED after a concerning episode at home, suggestive of a seizure, witnessed by his mother.
On arrival, he has an altered mental state, no temperature currently with tachycardia and hypertension. Continue reading
A 6 year old is brought in by ambulance on a P1 due to a GCS of 9.
Mum found him on the floor of the lounge unresponsive. She thinks he was quite stiff at the time and had urinated. She did not witness any jerky movements.
He was unwell for 2-3 days with a cough, runny nose and fevers, saw the GP today and was prescribed amoxicillin.
On arrival:
GCS 9
T 37.2
HR 125/min
BP 120/80 Continue reading