A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering. The patient has a history of IHD. At time of ECG the patient was symptom free:
Category Archives: Advanced EM Cases
Lab case 378
52-year-old lady presented to the emergency department with recurrent vomiting. She was found to have a slipped lapband. Her venous blood gases showed the following
PH = 7.42
pCO2 = 52 mmHg
Efficacy of empiric abx for septic olecranon bursitis without aspiration in ED
Findings
- In this series, 84% of patient was discharged from ED, 55.3% with antibiotic. Only 1.5% had elbow aspiration in ED. 88% had resolution at follow-up.
Bottom line
- Author concluded that aspiration in ED is not necessary even when septic bursitis is suspected, and most can be managed with outpatient antibiotic
- Performing a CRP blood test, and/or referral to orthopedic service, is associated with admission and antibiotic administration
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Imaging Case of the Week 520
The following chest x-ray is from a 40-year-old febrile patient with chronic renal failure. What can be noticed? Continue reading
Imaging Case of the Week 519 Answer
Imaging Case of the Week 518 Answer
ECG of the week 7th September 2022 – Answer
A 85 year old female presents to ED. She has been complaining of nausea and lethargy over the past week. Her GP has recently started her on new medication for her heart. On blood results her UECs show an AKI with a Cr of 250umol/l. Below is the patients ECG:
Imaging Case of the Week 519
The following abdominal x-ray is from a 45-year-old with abdominal pain & vomiting. What can be seen? Continue reading
ECG of the Week 7th September 2022
A 85 year old female presents to ED. She has been complaining of nausea and lethargy over the past week. Her GP has recently started her on new medication for her heart. On blood results her UECs show an AKI with a Cr of 250umol/l. Below is the patients ECG:
ECG of the Week 31 August 2022 – Answer
A 81 year old male presents to a regional ED with chest pain for the last 4 hours. Below is the patients ECG: