Lab Case 167

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.

Vitals

BP 150/90

HR 140/min, sinus

T 38

RR 26/min

O2 sats 96 RA Continue reading

Lab Case 165

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.

Continue reading

Lab case 162

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

Lab Case 159

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.

On arrival he was confused.

Vitals: BP  80/40   HR 46/min   Temp  34   RR 24/min and GCS 10 Continue reading