Elderly man, critically unwell. 1. Severe anaemia with significantly elevated Urea (with features in stem) suggest severe life threatening upper GI bleed requiring resuscitation and early referral to gastroenterology. Elevated ALP and GGT together with low albumin and total protein … Continue reading
An 82 year old man presents to your ED after a syncopal episode. He complains of abdominal pain and diarrhoea. On examination he has a heart rate of 105/min and a BP of 95/65. Rectal examination confirms black, foul smelling … Continue reading
The following chest x-rays are from a 72 year old who has a history of COAD, who has presented with a fever, cough and dyspnoea. What can you infer from the x-rays?
1. Describe and Interpret 8 year old girl with oedema and dark urine presents with: renal failure – Urea 12.1, Creat 101 evidence of infection – WCC 16, N 12.6 haematuria and pyruria on urinalysis – leucs>100, RBC>100 likely cause – … Continue reading
You are an Emergency Physician working in a rural hospital. You have seen an 8 year old girl who presents with facial oedema and dark urine. This is the second case you have seen in the last 3 days. Her … Continue reading
The following chest x-rays are from a 70 year old with severe chest and interscapular back pain. What can you conclude from the x-rays?