Proton Pump Inhibitor Use and Risk of Serious Infections in Young Children
Marion Lassalle, PharmD, PhD1; Mahmoud Zureik, MD, PhD1,2; Rosemary Dray-Spira, MD, PhD1
August 14, 2023 doi:10.1001/jamapediatrics.2023.2900 Continue reading
Proton Pump Inhibitor Use and Risk of Serious Infections in Young Children
Marion Lassalle, PharmD, PhD1; Mahmoud Zureik, MD, PhD1,2; Rosemary Dray-Spira, MD, PhD1
August 14, 2023 doi:10.1001/jamapediatrics.2023.2900 Continue reading
The following ECG is from a 60 year old lady with chest pain and dyspnoea a few hours after finishing a triathlon. At the scene she was hypothermic at 32 degrees.
On arrival to ED she has no chest pain but ongoing dyspnoea and her temperature has normalised.
This is her initial ECG, what are the key abnormalities and how will you manage the patient?
With thanks to Dr Lorna Cronin for ECG and answer.
The neck x-ray is from an adult patient with dysphagia after dinner. What can be seen? Continue reading
80 year old lady with type 2 DM was referred for high blood sugar. Her blood gases showed the following:
PH = 7.39
pCO2 = 48 mmol/L
Answers:
PH = 7.34, that is very mild acidaemia.
HCO3 = 14 mmol/L. So, we have metabolic acidosis.
Next we need to calculate Anion Gap and compensation.
The following chest x-ray is from an adult with cough and fever. What can be seen? Continue reading
A police recruit doing a 20 km pack hike. Collapsed. GCS on arrival was 7. His temperature was 39.2 on arrival. His venous blood gases showed the following:
PH = 7.34
pCO2 = 27 mmHg
Answers:
PH = 7.391, that is within the normal range, slightly to the acidic side.
pCO2 = 57 mmHg, that is high. So we have respiratory acidosis.
It is not clear from the history if the condition is acute or chronic. Accordingly we are going to check for both.