1. Her blood gas shows: Mixed respiratory alkalosis and high anion gap metabolic acidosis, elevated lactate and hypokalaemia. Normal renal function and ketones. Previously healthy female who is tachycardic and hypotensive. Anion gap = 19, expected CO2 = 32 … Continue reading
A 30 year old patient, previously well presents with vomiting and ringing in her ears. O/E – She looks unwell. Vitals – RR 30/min, BP 100/70, PR 105/min Her ABG is as follows: pH 7.20 CO2 24 mmHg HCO3 16 … Continue reading
The following supine abdominal x-ray is from a 7 week old male infant with a 10 day history of vomiting. What can you observe in the x-ray?
1.Describe the abnormalities severe sepsis in returning traveller- hypotension, tachycardia, fever Aneamia, thrombocytopaenia, normal white cell count with high lymphocytes in setting of sepsis (decrease in two cell lines) Mild hyponatraemia, moderate pre renal failure ( Urea increase >> Creatinine) … Continue reading
A 44 year old FIFO (ex Mozambique) presents with a 1 month history of feeling generally unwell, abdominal cramps and diarrhoea. On examination he is pale and sweaty with vital signs of T 40 degrees Celsius HR 130/min BP 110/65 These … Continue reading
The following erect chest and abdominal x-rays are from a 60 year old with sudden onset of abdominal pain. What can you deduce from these images?