Young female with SOB and SVT which has resolved after Valsalva. She is currently haemodynamically stable. 1. Describe the arterial blood gas results: mild respiratory alkalosis – pH 7.46, pCO2 27 compensation if acute: expected HCO3 = 21, actual 19, … Continue reading
I presented this talk at the ACEM Annual Scientific Meeting 2014 – Wednesday 10/12/14 References Evidence FOR fluid resus Carcillo JA, Davis AL, Zaritsky A. Role of early fluid resuscitation in pediatric septic shock. Jama. 1991;266(9):1242-5. Rivers E, Nguyen … Continue reading
A 28 year old female presents to your Emergency Department with palpitations and shortness of breath. She has no chest pain and no significant past medical history. On examination she is dyspnoeic with clear lung fields and good air entry … Continue reading
I presented this talk at the ACEM Annual Scientific Meeting 2014 – Monday 8/12/14 CLICK HERE FOR THE PRESENTATION References Mortality of Untreated PE Calder KK, Herbert M, Henderson SO. The mortality of untreated pulmonary embolism in emergency department … Continue reading
The following left ankle x-rays are from a 25 year old who sustained an ankle injury following a fall from a height. What eponymous fracture can be observed?
Prepare patient General inspection (patient sitting to begin with) Scars Skin (e.g. neurofibromata, café-au-lait) Abnormal movements Shake hands Motor system inspection Posture Muscle bulk/wasting/tenderness Abnormal movements Wasting Fasciculations (LMN lesion, MND, root compression, peripheral neuropathy, primary myopathy, thyrotoxicosis) Tremor Drift … Continue reading