A 30 year old man is brought to your ED by ambulance. He was found lying on his garage floor unconscious by his girlfriend after an earlier argument. He is a NIDDM on Metformin and has some psychological problems on Quetiapine.
The patient is a car enthusiast and works as a mechanic.
A 60 year old male presents with 1 week history of vomiting. In the last 24 hours the family noted that he was confused and poor to respond. Background – IHD, HTN, NIDDM on Metformin, Coversyl, aspirin, metoprolol.
An 80 year old lady is brought in to the ED complaining of tiredness and rectal bleeding. Past medical history includes chronic renal failure, CCF/ pulmonary oedema and anaemia. She has known GI AV malformations with previous bleeding episodes.
A 17 year old girl presents with 3 weeks of fevers, lethargy, general body aches and palpitations. She was diagnosed with a blood disorder in childhood but is on no regular medications and has no other significant medical issues.
An 11 year old girl presents feeling weak and tired. She has had a difficult day at school with cross country. She has no fevers but on history has frequency and excessive thirst. Her blood tests show: Continue reading →