A 30 year old man present with altered mental state, severe life threatening hyperkalaemia, severe hyperthermia, hypotension and tachycardia. Continue reading
A 30 year old man is brought to your ED after being found confused at a party. He has a history of anxiety and depression and is on medication.
O2 sats 95 RA
His blood gas shows: Continue reading
A middle aged man presents critically unwell with features to suggest septic shock and cardiogenic shock Continue reading
A 50 year old man is brought to your ED by ambulance. He complains of feeling unwell, fever, cough and difficulty breathing. He denies any chest pain or history of previous heart problems.
On examination he looks unwell, tachypnoeic and has very cold peripheries.
HR 140/min, sinus
O2 sats 96 RA Continue reading
A 30 year old NIDDM is brought to your ED after being found with altered mental state following an argument with his partner.
He is unwell, has compensated shock requiring emergent management Continue reading
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 9 year old boy is referred in by his GP with abnormal blood results on a background of a viral like illness.
His blood tests show: Continue reading
A 9 year old boy is referred in by his GP for further management of his blood results.
He has 3 days of a flu like illness with fever, leg pain, runny nose and cough. He is a healthy child without any other illness and fully immunised.
He looks well and has normal vital signs apart from a low grade temperature after some Paracetamol. Continue reading
A 52 year old female presents with difficulty walking and weakness.
Her blood results show: Continue reading
A 52 year old female presents with 2 days of left sided weakness, started in the calf and now has difficulty walking. She had a similar episode in May which self resolved.
Her blood tests show: Continue reading