6 month old female presents with 2 day history of watery diarrhoea and severe nappy rash.
A 75 year old male presents to ED after 2 syncopal episode at home.Continue reading
36 year old male presents to ED with swelling and discolouration of his foot after stepping on a piece of coral 1 week ago. The patient reports fever and vomiting.Continue reading
66 year old female presents complaining of anuria for the past 48 hours. She reports nausea and vomiting over the last week. She has a background history of IHD, having undergone a CABG 6 weeks ago. She also has Type 2 DM on Metformin and Gliclazide. The patient baseline Cr is 150umol/l
ABG on FiO2 0.4
pH 6.941 Na 139 mmol/l
pCO2 9.5 mmHg K 5.7mmol/l
pO2 168mmHg Cl 105mmol/l
HCO3 1.9mmol/l Glu 5.5 mmol/l
B/E -29.3 Cr 659 umol/l
Lactate 18 mmol/l Hb 94g/l
- Describe and Interpret the ABG
- Name the types of lactic acidosis and give examples of each.
A 60 year old male presents to ED with a 1 week history nausea, decreased oral intake and occasional vomiting. He has a background of poorly controlled hypertension on Perindopril.
4 month old female (corrected age 4 weeks) presents to ED after a 2 day history of non bilious vomiting and diarrhoea.
A 7 year old boy is brought to ED with his mother with a 4 day history of abdominal pain and vomiting. He has no PMH. O/E BP 90/50 HR 115 Sats 97% RA Temp 37 RR 30 CPR 4 seconds. The child has sunken eyes and dry mucous membranes. He is alert but looks underweight and unwell. No other clinical signs of note
25 year old male with a background of quadriplegia (from previous motor MVA), presents to ED with altered level of consciousness. He has recently undergone surgery on him lower limbs to release strictures. The patient is not known to be diabetic.
A 65 year old female presents to ED after acute onset SOB and collapse at home.
30 year old female presents from an inpatient drug rehabilitation facility after being drowsy overnight and having low oxygen saturation. She is intubated on arrival.
O/E: BP 110/70 HR 110 Sats 90% (FIO2 1.0) RR 28 T37.8 C
The patient has multiple erythematous skin lesions on her arms and torso. Continue reading