75 year old female with abdominal pain.. 1.ALP and GGT elevated > ALT, elevated bilirubin suggesting obstructive liver enzyme picture with mild biochemical jaundice and transaminitis Normal inflammatory markers – no obvious cholangitis Normal UEC and no obvious acid base … Continue reading
The chest x-ray shows the ‘Angel Wing’ sign. There is pneumomediastinum, as demonstrated by the displaced lobes of the thymus due to air in the mediastinum. There are bilateral pneumothoraces, more on the right than the left (difficult to see in … Continue reading
A 75 year old female presents to your ED with abdominal pain and nausea. She has a history of irritable bowel disease and gets recurrent abdominal pain. On examination her abdomen is soft with mild generalised tenderness. T = 37.3 … Continue reading
The following chest x-ray is from a newborn with respiratory distress. What radiological sign can be seen? Answer will be posted on 22/07/2015.
The elbow x-rays show a large haemarthrosis; there is elevation of both the anterior and posterior fat pads. The radiocapitellar line is disrupted as a result of radial head dislocation. There is no fracture seen in the distal humerus, radius or … Continue reading
A 61 year old female with evidence for sepsis, anaemia and dehydration 1. Microcytic hypochromic anaemia Fe deficiency with elevated Ferritin Obstructive picture on LFT without jaundice normal electrolytes 2. Sepsis – ?liver /gallbladder source, other (CRP was 325) Dehydration … Continue reading