A 59 year old man returned from a 6 week holiday in the USA 2 days ago. He was seen in an ED while on holiday for shortness of breath and given antibiotics which he completed. The shortness of breath has been ongoing but worse in the last 3 days.
On examination he is short of breath, sweaty and pale.
Vitals:
BP 90/70, HR 120/min, T 38, RR 30/min.
an XR was requested (see Radiology of the week) and blood tests requested. Continue reading
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
A 49 year old man with NIDDM on Metformin is brought to the ED by his father. He was not seen for 2 days, father went to check on him and found him lying on the floor, confused and incoherent.
On arrival he was confused, not cooperative and looked unwell.
Vital Signs:
BP 90/60
PR 130/min
T 32
RR 30/min
His blood tests: Continue reading
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