The abdominal x-ray shows a thumb-printing sign, as seen below, which is indicative of mucosal oedema of the large bowel due to colitis from a variety of conditions (e.g. ulcerative colitis, pseudomembranous colitis, and ischaemic colitis). This particular patient, however, was suffering from an … Continue reading
A 79 year old with bloody diarrhoea has the following abdominal x-ray. What can be noted? Answer will be posted on 27/04/2016.
A 20 year old man presents with a sore throat and fever. He has swollen lymph nodes in his neck. Hi blood results show: Hb 148 (135-175 g/l) Platelets 257 (140-400) WCC 23.5 (4-11) N 2.3 (2-7.5) L 9999 (1.2 … Continue reading
The frontal knee x-ray shows a large osteochondral lesion of the lateral femoral condyle, whereas the lateral knee x-ray indicates a joint effusion. An MRI scan of the knee confirmed osteochondritis dissecans (OCD) with intact overlying cartilage. OCD is due to avascular … Continue reading
An elderly man with critical illness, shock and hypoperfusion. His blood test shows: Normal anion gap metabolic acidosis (using corrected Na) corrected Na = Na – (Glucose-10)/3 = 151, patient has hypernatraemia with additional pseudo hypernatraemia Renal failure – check … Continue reading