Adult patient with sepsis. What can be seen? Continue reading
Category Archives: Advanced EM Cases
Lab case 428
28 days old boy brought by his parents for multiple vomiting episodes. His venous gases showed the following:
PH = 7.479
pCO2 = 41 mmHg
pO2 = 34 mmHg
Lab case 427 interpretation
Question 1 answer
PH = 7.236, that is moderate acidaemia
HCO3 = 12.5 mmol/L. So we have metabolic acidosis.
Next we need to calculate the compensation and the the anion gap.
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The chest x-ray is from an elderly patient with septic delirium. What can be noticed? Continue reading
Imaging Case of the Week 571 Answer
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Lab case 427
21 year old man presented to ED with fatigue and weakness. His blood gases showed the following:
PH = 7.236
PCO2 = 30 mmol/L
Lab case 426 interpretation
Answers:
PH = 7.415, this is within normal range. slightly more to the alkelaemic side.
pCO2 = 34 mmHg, that is slightly low, this patient is hyperventilating. (Normal pCO2 is 40 mmHg on arterial blood and 48 mmHg on venous blood).
hypertonic saline versus Mannitol, the unresolved question
Imaging Case of the Week 571
The following knee x-ray is from an adult with knee swelling post twisting injury. What can be seen? Continue reading