The following foot x-rays are from a 50 year old with plantar flexion injury to their foot and inability to weight bear. What can be seen? Continue reading
ECG of the Week 7th December 2022
Paramedics ring through to say that they are 10 minutes away with a 65 year old man who has a heart rate of approximately 170 with a thready pulse and a systolic blood pressure of 90. This is the first ECG obtained. Please interpret the ECG and describe how you will manage the patient.
ECG of the Week 30th November 2022 – Interpretation
ECG of the Week 30th November 2022 – Interpretation
Lab case 389
25-year-old police academy student brought to ED due to collapse in training. His heart rate was 170/min, Blood Pressure was 100/55 and his temperature was 39.5.
His venous blood gases showed the following:
PH = 7.349
Lab case 388 interpretation
Question 1:
PH = 7.55, that is moderate alkalaemia.
pCO2 = 26 mmHG (<40), so we have respiratory alkalosis. This can be acute or chronic respiratory alkalosis.
Imaging Case of the Week 530
The chest x-ray is from a 60 year old smoker with dyspnea. What can be visualized? Continue reading
ECG of the Week 30th November 2022
A 52 year old woman is triaged as a category 2 after complaining of chest tightness on the background of having previous cardiac history. She thinks she may have had stenting to her coronaries but is unsure. Please systematically describe the ECG and anticipate what structural or functional changes she may have to her heart on echocardiography.
ECG of the Week 23rd November 2022 – Interpretation
Interpretation of ECG from 23 November 2022
Lab case 388
46-year-old female patient presented with few episodes of vomiting. Her VBG showed the following:
PH = 7.55
pCO2 = 26 mmHg
Lab case 387 Interpretation
Answers:
Question 1:
pH = 7.357, that is within the normal range, towards the acidotic side.
HCO3 = 16.2, that is low. So, we have metabolic acidosis