55 year old female – AMS VBG shows: 1. Severe hyponatraemic, hypokalaemic, hypochloraemic metabolic alkalosis compensated (within limitations of VBG) Elevated lactate AG = 6 (low –>?? alcohol) 2. AMS – seizure, trauma, alcohol intoxication/withdrawal/ Wernicke’s, severe hyponatraemia, sepsis (intracranial/ … Continue reading
The chest x-ray shows pleural plaques more prominent on the right midzone, in the shape of a leaf. This is called the Holly leaf sign, seen in asbestosis. The bizarre plaques are bordered by calcified edges. Pleural plaques almost exclusively … Continue reading
A 55 year old female presents to ypur ED with an altered mental state. Her VBG is as follows: pH 7.54 (7.36-7.44) pCO2 48 (35-45 mmHg) pO2 31 HCO3 41 (24 +/- mmol/l) BE 16 Na 100 (137-145 mmol/l) K 2.1 … Continue reading
The following frontal chest x-ray from a 80 year old was obtained as part of a pre-operative work up prior to lower limb surgery. What radiological sign can be noted? Answer on 22/04/2015.
A young male presents after an overdose of a commonly used drug. 1. Acute uncompensated respiratory alkalosis with mild hypokalaemia Mild increase in A-a gradient 2. Suggests significant Salicylate toxicity VQ mismatch/ shunt – ?? aspiration from vomiting, other 3. … Continue reading
The chest x-rays show a thick walled cavity in the right middle lobe and an airspace opacity in the left upper lobe with cavity. There is a patchy opacity in the left lingular lobe. There is no pneumothorax or pleural effusion … Continue reading