The following 75yr old recently ceased amiodarone through the GP and presented with presyncope. Here are her serial ECG:
Category Archives: Clinical Case of the Week
Case of the week 26
An 18-year-old Sudanese man presents to ED with a penile erection for the last 6 hours. He woke up with an erection at 6 am but was too embarrassed to tell anyone about it.
He decided to come to the hospital when the pain was unbearable.
- What are the important features of your assessment?
Case of the Week 25
A 25-year-old man presented to the emergency department after a motorbike accident on the freeway. On the scene, his blood pressure was 90 systolic, HR 110. He is in spinal precaution and is significantly distressed due to pain.
During his assessment, a pelvic X-ray was obtained.
Interpret the X-ray.
Image courtesy- www.healio.com/orthopedics/journals/ortho
Case of the week 24
A 32-year-old female is brought by ambulance to the ED. She was a driver of a small hatchback car, which was hit by another car on the passenger side on Marmion ave an hour ago. She is 32 weeks pregnant. The patient is in the resuscitation cubicle, with full cardio-respiratory monitoring and spinal immobilization. The hospital trauma call has done by Triage nurses already.
Her Vitals- GCS-15, HR- 130, BP- 90/60, RR- 24, Sats- 99% (6 L/min Oxygen)
- What are the key features of your initial assessment?
Case of the week 23
On a busy night shift, an ambulance brought a 28-year-old male after a seizure at home. He just arrived in Perth 3 hours ago from Europe. On arrival, his vital signs were as follows-
GCS 14/15
Pulse 132, BP 210/90, SaO2 95% on R/A, Temp 38.2, RR 24
BSL 8.9
- Interpret the ECG below.
Case of the week 22
On a busy night shift, the medical emergency alarm went off in the EAU area. A 33-year-old lady who was receiving the first unit of PRBC for her anemia complicated by the menorrhagia, feeling very unwell and dizzy.
Vitals- HR120, BP- 80/50, RR- 36, Temp-39
- Outline your differential diagnosis and initial response to that situation.
Case of the week 21
Handover at 0800- 53-year-old Indian presenting to hospital with severe neck pain. History is difficult to attain because of the language barrier. The night RMO has sent some blood and gave her some analgesics, including a 5 mg tablet of Oxycodone.
The RMO thinks the patient will need further assessment.
- How will you approach the situation?
Case of the week 20
You are about to see an 8-year-old boy who represented with right-sided abdominal pain with nausea and vomiting. He presented a day before with similar symptoms and was seen by an RMO and discharged home with some analgesics.
- Outline your assessment for this representation.
Case of the week 18
A 35-year-old man presented to ED with a history of palpitation for last one hour, he is pale, sweaty, and feeling dizzy.
His initial vitals are-
BP- 80/50, Sats- 98% RA, GCS 15
ECG-
http://hqmeded-ecg.blogspot.com/2013/03/wide-complex-tachycardia.html
- Interpret the ECG.
- Describe your management of the patient.
Case of the week 17
Time- 0100
A 55-year-old man brought in by ambulance with a history of hematemesis.
His initial vitals are-
GCS15, Pulse- 125, BP- 110/70, Sats- 97%, Temp- 36.5
- Outline your assessment of this patient?