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
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
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
PH = 7.55, that is moderate alkalaemia.
pCO2 = 26 mmHG (<40), so we have respiratory alkalosis. This can be acute or chronic respiratory alkalosis.
The chest x-ray is from a 60 year old smoker with dyspnea. What can be visualized? Continue reading
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.
Interpretation of ECG from 23 November 2022
46-year-old female patient presented with few episodes of vomiting. Her VBG showed the following:
PH = 7.55
pCO2 = 26 mmHg
pH = 7.357, that is within the normal range, towards the acidotic side.
HCO3 = 16.2, that is low. So, we have metabolic acidosis