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
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.
The following shoulder x-ray is from an adult who is complaining of shoulder pain following MVA. What can be seen? Continue reading
The wrist x-rays show Continue reading
71 y old male is coming with palpitations, haemodynamically stable.
This ECG represents fever induced Brugada syndrome.
Needs aggressive treatment of the fever and Cardiology referral for ICD.
Additional information from LITFL:
Brugada Syndrome Key Points
58-year-old lady with history of obstructive sleep apnoea presented with Syncope. Her venous blood gases showed the following:
PH = 7.391
pCO2 = 57 mmHg