Critically unwell 59 year old returned traveller with shock and uncertain cause.
CXR reveals large pleural effusion (Radiology case of the week) – which was a haemothorax.
Features on bloods of sepsis, severe acute renal failure and DIC
requiring resuscitation, chest drain Continue reading
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
A 24 year old with fever, vomiting and abdominal pain who is unwell with possible abdominal sepsis.
Her blood results show Continue reading
A 24 year old female presents with vomiting and abdominal pain. She is drowsy, febrile and pale.
Vital signs:
BP 90 systolic
HR 120/min
T 38
RR 26/min
After initial resuscitation her blood gas is as follows: Continue reading
A 68 year old female present with altered mental state, shock and hypothermia Continue reading
A 68 year old female is brought to ED by ambulance. her husband found her this morning confused and called the ambulance. He had last seen her last night before bed when she was well.
PMH – HTN, NIDDM
She takes propranolol, metformin, gliclazide, SGLT 2 inhibitor for diabetes
In ED the patient was obtunded Continue reading
An 80 year old with respiratory failure. Blood gas shows: 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 unwell with abdominal pain and vomiting.
Her blood results show: 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