Category Archives: Advanced EM Cases
Imaging Case of the Week 562 Answer
Comparison of intravenous paracetamol (acetaminophen) to intravenously or intramuscularly administered non-steroidal anti-inflammatory drugs (NSAIDs) or opioids for patients presenting with moderate to severe acute pain conditions to the ED: systematic review and meta-analysis Isma Qureshi ,1 Khadiga Abdulrashid ,2,3 Stephen H Thomas,1,4 Manar E Abdel-Rahman ,2 Sameer A Pathan,1,4,5 Tim Harris1,4
Imaging Case of the Week 564
The following chest x-ray is from an infant with increased work of breathing. What can be seen? Continue reading
Lab case 416
30 year old man presented with right knee pain and swelling. Synovial fluid analysis revealed the following:
Volume 25 ml
Description: Turbid yellow
code stemi
65 year old male, cardiac arrest at home, ambulance team achieved ROSC
His main diagnosis was an inferior stemi complicated by a few issues:
Lab case 415 interpretation
Answers:
Question 1:
- Mild hyponatremia
- Moderate Hyperkalaemia
- Hyperphosphataemia
- Hypocalcaemia
- Hyperuricaemia
- High creatinine and urea consistent with renal impairment, with a high urea-to-creatinine ratio
- Low HCO3 consistent with metabolic acidosis
- High lactate dehydrogenase (LDH)
Imaging Case of the Week 563
The following chest x-ray is from an 8 month old with coryzal illness & increased work of breathing. What can be seen? Continue reading
Lab case 415
A 45-year-old man presents with vomiting and numbness on his fingers . He has CML and he is on chemotherapy. His blood biochemistry showed the following:
Na = 130 mmol/L
K = 6.8 mmol/L
Lab case 414 interpretation
PH = 7.30, that is mild acidaemia.
HCO3 = 16.6 mmol/L. So, we have metabolic acidosis.
Next, we need to calculate the anion gap and the compensation for this patient.