1. Describe and give the likely cause Uncompensated high anion gap metabolic acidosis with hyperglycaemia and high lactate, due to diabetic ketoacidosis with shock and peripheral hypoperfusion 2. Describe the Potassium Normal Potassium level reflecting total body depletion due to: … Continue reading
A 17 year old male previously healthy, presents to your ED feeling unwell with a fever. BP = 100/70, PR = 105/min, RR 25/min His VBG is as follows: pH 7.19 (7.36-7.44) pCO2 43 (36-44 … Continue reading
This frontal chest x-ray is from a 43 year old with exacerbation of asthma. What can you glean from the x-ray?
Elderly man, critically unwell. 1. Severe anaemia with significantly elevated Urea (with features in stem) suggest severe life threatening upper GI bleed requiring resuscitation and early referral to gastroenterology. Elevated ALP and GGT together with low albumin and total protein … Continue reading
An 82 year old man presents to your ED after a syncopal episode. He complains of abdominal pain and diarrhoea. On examination he has a heart rate of 105/min and a BP of 95/65. Rectal examination confirms black, foul smelling … Continue reading
The following chest x-rays are from a 72 year old who has a history of COAD, who has presented with a fever, cough and dyspnoea. What can you infer from the x-rays?