Critically unwell 58 year old with life threatening bleeding due to epistaxis. Significant airway and resuscitation concerns. Consider other sources of bleeding, including Oesophageal varices, Peptic ulcer disease etc. 1. Describe and Interpret Anaemia – likely due to acute haemorrhage Severe … Continue reading
A 58 year old man is brought to your Emergency Department by ambulance after a spontaneous epistaxis over the last three hours. The Paramedics confirm that the patient vomitted 500mls fresh blood at the scene. There were a number of … Continue reading
The following skull x-ray is from a 60 year old who presented to the ED with vague symptoms of lethargy and weakness. The skull x-ray was performed as part of a skeletal survey following abnormal blood tests. What can be … Continue reading
A 34 year old female with a large right sided pleural effusion Answers: 1. Clinical Examination: Inspection – signs of respiratory distress (tachypnoea, accessory muscle use, difficulty in speaking full sentences), asymmetrical chest expansion Palpation – Reduced chest expansion, tracheal … Continue reading
A 34 year old female presents to your ED with right sided chest pain and increasing shortness of breath. She has a history of chronic alcohol abuse and recurrent pancreatitis. A CXR performed shows a large right sided pleural effusion. … Continue reading
This lumbar spine AP x-ray is from a 52 year old chronic alcoholic with low back pain. What incidental finding can you observe on the x-ray?