21-year-old man brought for ED for impaired mental state, he was extremely agitated and needed 6 staff members to restrain him for IV access and sedation. His venous blood gases showed the following:
PH = 6.9
pCO2 = 24 mmHg
21-year-old man brought for ED for impaired mental state, he was extremely agitated and needed 6 staff members to restrain him for IV access and sedation. His venous blood gases showed the following:
PH = 6.9
pCO2 = 24 mmHg
The following chest x-ray is from a 42-year-old with asthma exacerbation. What can be noticed? Continue reading
The case:
33 year old primip with shoulder dystocia and subsequent PPH, neonate requiring resuscitation initially by attending pediatrician.
The chest x-ray shows an incidental finding Continue reading
The elbow x-ray shows Continue reading
Chest x-ray from an adult female with dry retching. What can be seen? Continue reading
The elbow x-ray is from an adult patient with pain, swelling & inability to move their elbow after a fall on outstretched hand. What can be seen? Continue reading
The chest x-ray shows Continue reading
Effect of a Diagnostic Strategy Using an Elevated and Age-Adjusted D-Dimer Threshold on Thromboembolic Events in Emergency Department Patients With Suspected Pulmonary Embolism
JAMA. 2021;326(21):2141-2149. doi:10.1001/jama.2021.20750
Overview
Bottom line
Question 1:
PH = 7.43 that is with in normal range, more toward alkalotic spectrum
HCO3 = 39.9, that is elevated so we have metabolic alkalosis. Next we need to check the compensation process.