Lab Case 209

A 59 year old man returned from a 6 week holiday in the USA 2 days ago. He was seen in an ED while on holiday for shortness of breath and given antibiotics which he completed. The shortness of breath has been ongoing but worse in the last 3 days.

On examination he is short of breath, sweaty and pale.


BP  90/70, HR 120/min, T 38, RR 30/min.

an XR was requested (see Radiology of the week) and blood tests requested. Continue reading

Lab Case 202

A 68 year old female is brought to ED by ambulance. her husband found her this morning confused and called the ambulance. He had last seen her last night before bed when she was well.


She takes propranolol, metformin, gliclazide, SGLT 2 inhibitor for diabetes

In ED the patient was obtunded Continue reading

Lab Case 200 UP!

An 80 year old man presents to your ED with shortness of breath for the last 12 hours. On examination he has significant intercostal recession and tachypnoea with oxygen saturations of 88% on room air.

Vital signs:

BP 160/70

HR  110/min

RR  30/min

His ABG on 6 litres oxygen: Continue reading