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Emergency Medicine Bite-Sized Basics

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Tag Archives: abdominal pain

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Lab Case 207

Posted on November 14, 2018 by Yusuf Mamoojee

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 →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, acidbase, base, emergency, emergency medicine, fever, vomiting

Lab Case 196 – Interpretation

Posted on July 11, 2018 by Yusuf Mamoojee

A 57 year old lady presents unwell with abdominal pain and vomiting.

Her blood results show: Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, base, DKA, emergency, emergency mmedicine, hypoglycaemia, ketonaemia, SGLT 2 inhibitors

Lab Case 196

Posted on July 8, 2018 by Yusuf Mamoojee

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 →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, base, diabetes, emergency, emergency medicine, high cholesterol, hypotension, shortness of breath, tachycardia, vomiting

Lab Case 194- Interpretation

Posted on June 27, 2018 by Yusuf Mamoojee

A 46 year old female with upper abdominal pain and abnormal liver functions which show: Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, acid-base, base, cardiac failure, cholecystitis, emergency, emergency medicine, gallstones, hepatitis, Jaundice, obstructive liver disease

Lab Case 194

Posted on June 27, 2018 by Yusuf Mamoojee

A 46 year old female presents to your ED with abdominal pain, nausea and vomiting. Her pain started 2 days ago but has become worse over the last few hours. She has a history of bloating after meals and reflux. Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, acid-base, base, emergency, emergency medicine, guarding, nausea, rebound, voimiting

Lab Case 188

Posted on May 9, 2018 by Fiona Beattie

A 7 year old boy is brought to ED with his mother with a 4 day history of abdominal pain and vomiting. He has no PMH. O/E BP 90/50 HR 115 Sats 97% RA Temp 37 RR 30 CPR 4 seconds. The child has sunken eyes and dry mucous membranes. He is alert but looks underweight and unwell. No other clinical signs of note

Continue reading →

Posted in Lab Cases | Tagged abdominal pain, acidosis, unwell child

Lab Case 187

Posted on April 18, 2018 by Yusuf Mamoojee

A 60 year old man is brought to your ED after a collapse at home. He has been feeling unwell for a few days with fevers and abdominal discomfort.

He is itchy and confused.

Vitals:

BP  90/60

HR 120/min

T 39 Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, base, collapse, emergency, emergency medicine, fever

Lab Case 185

Posted on April 2, 2018 by Yusuf Mamoojee

A 78 year old man, recently returned from India presents with abdominal pain, weakness and diarrhoea.

Vitals: BP 110/60              PR  95/min

His blood tests show Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, acid-base, base, diarrhoea, emergency, emergency medicine, weakness

Lab Case 150

Posted on June 21, 2017 by Yusuf Mamoojee

A 26 year old man presents with abdominal pain and vomiting. He drinks alcohol regularly and smokes marijuana. On examination, there is epigastric tenderness with guarding. Vitals: BP 100/60, PR 100/min, T 37.5

His VBG: Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, acid-base, base, emergency, emergency medicine, vomiting

Lab Case 147

Posted on May 31, 2017 by Yusuf Mamoojee

A 16 year old boy is brought to your ED by the ambulance with abdominal pain, vomiting and shortness of breath.

He is pale, sweaty and looks unwell.

Vitals: BP 90/60, PR 110/min, T 38, RR 30/min

His blood results: Continue reading →

Posted in Advanced EM Cases, Lab Cases | Tagged abdominal pain, acid, base, emergency, emergency medicine, hypotension, shortness of braeth, tachycardia, tachypnoea, vomiting

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