A 26 year old man with severe abdominal pain, on background of excess alcohol intake presents with Continue reading
A 26 year old man presents with abdominal pain and vomiting. He drinks alcohol regularly and smokes marijuana. On examination, there is epigastric tenderness with guarding. Vitals: BP 100/60, PR 100/min, T 37.5
His VBG: Continue reading
A 49 year old man with NIDDM on Metformin is brought to the ED by his father. He was not seen for 2 days, father went to check on him and found him lying on the floor, confused and incoherent.
On arrival he was confused, not cooperative and looked unwell.
His blood tests: Continue reading
A 16 year old patient presents critically unwell with severe life threatening diabetic ketoacidosis, in severe shock Continue reading
A 16 year old boy is brought to your ED by the ambulance with abdominal pain, vomiting and shortness of breath.
He is pale, sweaty and looks unwell.
Vitals: BP 90/60, PR 110/min, T 38, RR 30/min
His blood results: Continue reading
An 85 year old female with bowel obstruction is in your Emergency department for the past 12 hours waiting for a bed. She has been seen by the general surgical team and accepted for admission. She has been having increasing pain and abdominal distension requiring opiate analgesics. The nurse has interrupted you on multiple occasions because the patient is becoming increasingly tired and breathless with some mild confusion. You are slightly annoyed by this and finally decide to see the patient. You find the patient looking unwell, on 4 litres oxygen in you short stay ward. You decide to move the patient to the resuscitation area and do “blood tests”
Her ABG shows: Continue reading
An 80 year old man sent in by Surgeon looking unwell post bowel resection for bowel obstruction.
Abnormal vital signs – low BP and tachycardia Continue reading