A critically unwell 70 year old man. His blood results show: High anion gap metabolic acidosis with elevated glucose, lactate and renal failure Uncompensated/ likely additional respiratory acidosis Very high A-a gradient (VQ mismatch, shunt, diffusion defect) Severe hypoxia Acute … Continue reading
A 70 year old man presents to your ED feeling unwell with abdominal pain and vomiting for two days. He has a history of NIDDM, HTN and high Cholesterol. He is immediately triaged to your resuscitation bay, placed on 15 … Continue reading
The following facial x-ray (OM view) is from a 25 year old who has been punched in the face and has presented with pain, swelling and bruising around the left eye. What can be seen?
70 year old patient critically unwell, with life threatening hyperkalaemia requiring non invasive cardiac monitoring in resuscitation bay and urgent reduction of potassium. 1. Severe life threatening hyperkalaemia high anion gap metabolic acidosis with additional respiratory acidosis (expected CO2 33) … Continue reading
The following shoulder x-rays are from a 62 year old with a history of renal cell carcinoma. The patient has experienced a minor fall and is complaining of pain in the left shoulder area. What can be noted in the x-rays? … Continue reading
A 70 year old man presents after feeling acutely unwell a few hours ago. He complains of weakness, lethargy and a painful knee. On examination he is diaphoretic and looks unwell. He is currently on treatment for diabetes, heart failure, … Continue reading