The following frontal chest x-ray is from a 65 year old with chronic dyspnoea. Which cardiac chamber enlargement can be observed? Answer will be posted on 1/7/15.
A 58 year old man has been behaving oddly at home for the last few days and is brought to your ED by the police and ambulance personnel. He required 5mg of IM midazolam to facilitate his transfer to hospital. … Continue reading
A 30 year old ama presents with weakness and profound hypokalaemia 1. Profound hypokalaemia requiring cardiac monitoring and K replacement (probably via central access) Non anion gap metabolic acidosis with appropriate compensation Raised CK – Rhabdomyolysis (seek cause – ??hypokalaemia … Continue reading
The supine chest x-ray shows a deep sulcus sign on the left, which is a radiological sign seen in supine patients with pneumothorax. The deep sulcus sign represents lucency of the lateral costophrenic angle extending towards the hypochondrium. In a supine … Continue reading
A 30 year old man presents to your Ed with a 24 hour history of increasing weakness. An ABG and electrolytes are performed: pH 7.25 (7.36-7.44) pCO2 29 (35-45 mmHg) pO2 101 mmHg FiO2 Room air HCO3 13 (22-26mmol/l) BE … Continue reading
Unwell patient with weakness presents with: 1. Compensated anion gap metabolic acidosis (AG 34) Additional metabolic alkalosis (Delta gap >2) Hypoglycaemia ketosis renal failure Evidence of infection elevated lactate – hypoperfusion, shock 2/3. Starvation causing ketosis and hypoglycaemia Gastroenteritis – … Continue reading