34 year old male with a background of alcohol dependence (30 standard drinks per day) and Crohn’s disease presents to ED after 24 hours of no alcohol use. He is complaining of feeling anxious, sweaty and in the last few hours he feels like his legs are cramping and he is feeling increasingly weak. He required a wheel chair to get him into the department.
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 patient with a history of recurrent pancreatitis and chronic alcoholism presents to your ED with reduced oral intake, vomiting and shivering.
Her blood results: Continue reading
A 36 year old man presents to your ED with epigastric pain, right upper quadrant pain and vomiting. He admits to drinking excessive amounts of alcohol but denies any alcohol for the past 4 days.
BP 100 systolic
Sats 99% room air Continue reading
A 34 year old female presents to your ED with right sided chest pain and increasing shortness of breath. She has a history of chronic alcohol abuse and recurrent pancreatitis. A CXR performed shows a large right sided pleural effusion. Aspiration of the effusion was performed. Continue reading
A 36 year old female presents to your ED with abdominal pain and vomiting for 4 days. She has a heavy alcohol intake. On examination she has epigastric and RUQ tenderness.
BP 110 systolic
Describe and Interpret her blood results Continue reading
A 55 year old female presents to your ED with alcohol intoxication. Describe and Interpret her blood results Continue reading