A 35 year old man presents to your ED with severe abdominal pain for the last 6 hours. His Lipase is 3158. Blood gas: pH 7.321 pCO2 55 mmHg HCO3 22 mmHg Na 145 (137-145 mmol/l) K 3.6 (3.5-5 mmol/l) … Continue reading
51 year old ciritically unwell man with shock and encephalopathy His blood results show: Mild thrombocytopaenia – alcohol, additional platelet dysfunction and coagulopathy likely Elevated inflammatory markers – sepsis, liver failure Liver failure secondary to alcohol abuse – AST:ALT 2:1, GGT … Continue reading
The following PA and lateral chest x-rays are from a 40 year old with epigastric and back pain. What can be seen? Answer will be posted on 25/11/2015.
The chest x-ray shows a large right-sided hydropneumothorax. There is a right-sided intercostal chest drain in situ. Subcutaneous emphysema can be seen in the right chest wall, as well as the neck. Causes of hydropneumothorax: Complication of thoracocentesis (which is the case in … Continue reading
A 51 year old man is brought to your ED by his family. He has been slightly confused and also had diarrhoea and vomiting for the last three days. The patient drinks about 3 litres of vodka per day. He … Continue reading
The following chest x-ray is from a 40 year old with right sided chest pain and dyspnoea. This x-ray has been taken the day after patient has had a chest drain insertion. What can be seen? Answer will be … Continue reading