The following chest x-ray is from a patient with chest pain. What can be noticed? Continue reading
Category Archives: Advanced EM Cases
ECG of the Week 9 Oct 24
An 8yr old female presents with heart palpitations, she is hemodynamically stable and talking to you. Her ECG is shown:
What is the management for this pediatric patient?
She receives some treatment for her condition and her subsequent ECG is below:
Her mother asks you if this is likely to happen again, and what she can do about it? What is your advice to the mother?
Lab case 450 interpretation
Question 1:
PH = 7.299 that is moderate acidaemia (less than 7.3), however we can argue that is mild as it is just 0.001 less than the value for mild acidaemia – ultimately, it is not going to change the management for the patient.
pCO2 = 52 mmHg, so we have respiratory acidosis.
Imaging Case of the Week 605
The following left thigh x-ray is from a neonate with thigh swelling. What can be seen? Continue reading
ECG of the Week
47yr female presents with 2 day history of right infra-scapula pain. In ED has right sided pleuritic chest pain and is diaphoretic. No PMH or cardiac risk factors
Please interpret the ECG and detail your management of this patient:
Imaging Case of the Week 604
The chest x-ray is from a toddler taken post choking episode at home. What can be seen? Continue reading
Lab case 450
10-years-old asthmatic boy, presented with croupy cough and wheezy chest. His blood gases showed the following:
PH = 7.299
pCO2 = 52 mmHg
ECG of the week
Image
This week’s case is of a 37yr male who came into ED with 2 weeks progressive SOB which has not responded to oral antibiotics, this morning he had an episode of presyncope and who subsequently developed palpitations while in the department.
The following ECG was recorded, describe and interpret the ECG and consider possible differential diagnoses for this patient:
Imaging Case of the Week 602 Answer
The hand x-ray shows Continue reading
Imaging Case of the Week 601 Answer
The pelvic x-ray shows Continue reading