Lab case 448 Interpretation

Question 1:

We should consider ascending cholangitis in any patient with fever and features of obstructive jaundice till prove otherwise.

The diagnosis of ascending cholangitis is a clinical diagnosis. Classic Charcot triad of abdominal pain, fever, and jaundice seen only in about 40% of patient.

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ECG of the Week – 10th July

The following ECG is from a 74-year-old man with one hour of chest pain. He has no cardiac risk factors and denies any significant medical history.

His observations are as follows: HR 58, BP 133/75, Sats 99% RA, afebrile, RR 20.

Describe and interpret his ECG.

Lab Case 448

75 year old lady presented to the emergency department after a fall. In ED she was found to be slightly febrile with blood pressure of 95/55. Part of the investigation performed was LFT   and it showed the following:

Bilirubin = 101  umol/L     (< 16)

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ECG of the Week – June 26th

The following ECG is from a 48-year-old man who presented feeling generally unwell and “restless”. He has been suffering from a gastrointestinal illness for the past 4 days.

Interpret his ECG and provide a differential diagnosis for your findings. 


ECG of the Week 19th June 2024

The following ECG is from a 38-year-old type 1 diabetic who has come by ambulance with epigastric pain, dyspnoea and feeling generally unwell.

What are the key ECG features?

What are the differentials for these features?