A 59 year old man returned from a 6 week holiday in the USA 2 days ago. He was seen in an ED while on holiday for shortness of breath and given antibiotics which he completed. The shortness of breath has been ongoing but worse in the last 3 days.
On examination he is short of breath, sweaty and pale.
Vitals:
BP 90/70, HR 120/min, T 38, RR 30/min.
an XR was requested (see Radiology of the week) and blood tests requested. Continue reading
An 80 year old man presents to your ED with shortness of breath for the last 12 hours. On examination he has significant intercostal recession and tachypnoea with oxygen saturations of 88% on room air.
Vital signs:
BP 160/70
HR 110/min
RR 30/min
His ABG on 6 litres oxygen: Continue reading
A 57 year old lady presents to your ED with abdominal pain, shortness of breath and vomiting for 1 day. She has reduced appetite and last ate 2 days ago.
She has high cholesterol and type II DM and is taking a statin and Jardiamet. Continue reading
A 22 year old man presents to your ED with 5 hours of central and left sided chest pain, radiating to his left arm.
Vital Signs:
BP 110/70
PR 120/min
RR 30/min
O2 Sats 100% RA Continue reading
A 70 year old female presents with acute shortness of breath.
BP 180/100
HR 80/min
Sats 90% RA
A VBG shows: Continue reading
A 70 year old lady presents with shortness of breath 3 days after surgery for an abdominal mass. Continue reading
A 29 year old female presents to your ED complaining of crampy abdominal pain, nausea, vomiting, polyuria and shortness of breath. She is 2 months post partum after normal vaginal delivery.
Vital signs:
BP 100/70
PR 100/min
RR 30/min
T 37
Her blood results show: Continue reading
A 69 year old man presents with shortness of breath. His RR is 40/min and his oxygen saturation is 58% RA.
ABG on 10litres : Continue reading
A 75 year old female with shortness of breath presents to your ED. Vital signs: BP 130/70, PR 90/min, RR 28/min.
Her arterial blood gas on room air shows: Continue reading
A 64 year old man presents with shortness of breath and feeling unwell for 3 days.
His blood results show: Continue reading