1. Acute Pancreatitis 2. Must have: Gallstones (40%) Alcohol ( 35%) One of: ERCP 9iatrogenic) Trauma Drugs 3. Normal anion gap metabolic acidosis with partial compensation anion gap = 12 Expected CO2 = 35 mmHg likely hyperchloraemic, due to 0.9% … Continue reading
A 39 year old previously well female presents to your ED with a 3 day history of abdominal pain and diarrhoea. Vital Signs: BP 100/60 PR 110/min RR 26/min Her initial blood tests: FBC: Hb 109 ( 135-170 g/l) Platelets … Continue reading
The following lateral soft tissue neck x-ray is from a 3 year old child with fever who is unable to move his neck. There is no history of trauma but the child has had coryzal symptoms two days prior to presentation. What can be … Continue reading
1. Her blood gas shows: Mixed respiratory alkalosis and high anion gap metabolic acidosis, elevated lactate and hypokalaemia. Normal renal function and ketones. Previously healthy female who is tachycardic and hypotensive. Anion gap = 19, expected CO2 = 32 … Continue reading
A 30 year old patient, previously well presents with vomiting and ringing in her ears. O/E – She looks unwell. Vitals – RR 30/min, BP 100/70, PR 105/min Her ABG is as follows: pH 7.20 CO2 24 mmHg HCO3 16 … Continue reading
The following supine abdominal x-ray is from a 7 week old male infant with a 10 day history of vomiting. What can you observe in the x-ray?