An 82 year old female is brought to your ED by ambulance which was called when the patients daughter noted that she was confused and hot. The patient complains of abdominal pain and nausea. Vitals: BP 90/60 PR 110/min T 38 … Continue reading
A 29 year old female with features of meningitis 1. Protein high, suggests bacterial infection Glucose < 40% of BSL Predominance of RCC with some WCC (mainly lymphocytes) Mixed picture without definitive diagnosis requiring empiric treatment and further investigation/ testing … Continue reading
The chest x-ray shows a linear density along the left lung field due to a skin fold, which can sometimes be mistaken for a pneumothorax. There are old healed rib fractures on the right as well as infiltrates in the … Continue reading
A 29 year old woman presents feeling unwell with weakness, headaches and vomiting. She has photophobia and some minor nuchal irritation. The patient had seen her GP two days prior and was diagnosed with sinusitis A lumbar puncture shows: Macroscopic: … Continue reading
This chest x-ray is from a 78 year old with tachycardia and abdominal pain. What can be seen on the erect AP chest x-ray?Answer will be posted on 3/2/16. With thanks to Dr. John Larkin for the image.
The ankle x-ray shows a lateral talar dome fracture. There is also significant soft tissue swelling over the medial malleolus. This is a missable fracture. Fractures of the lateral talar dome usually occur due to trauma, whereas medial talar dome fractures are … Continue reading