An 85 year old female with bowel obstruction is in your Emergency department for the past 12 hours waiting for a bed. She has been seen by the general surgical team and accepted for admission. She has been having increasing pain and abdominal distension requiring opiate analgesics. The nurse has interrupted you on multiple occasions because the patient is becoming increasingly tired and breathless with some mild confusion. You are slightly annoyed by this and finally decide to see the patient. You find the patient looking unwell, on 4 litres oxygen in you short stay ward. You decide to move the patient to the resuscitation area and do “blood tests”
Her ABG shows: Continue reading
The pelvic x-ray is from a 45 year old with pain in the hips. What can be seen? Continue reading
An 80 year old man sent in by Surgeon looking unwell post bowel resection for bowel obstruction.
Abnormal vital signs – low BP and tachycardia Continue reading
An 80 year old man is sent in to your Emergency department by his Surgeon after a routine checkup 5 weeks post bowel resection for bowel obstruction.
He is noted to be pale and unwell.
His blood tests: Continue reading
The following right forearm x-ray is from a 5 year old who has fallen on an outstretched right hand. What can be seen? Continue reading
A 26 year old man presents with a febrile illness and vomiting. He is unwell, with low BP and tachycardia Continue reading
A 26 year old man is brought to your ED by ambulance. He has had 3 days of fevers, sore throat and persistent vomiting. He looks unwell.
His blood results show: Continue reading