A 14 year old female is brought in to your ED on a priority one by ambulance. She has had a one week history of vomiting and diarrhoea. On examination: Obtunded extensor posturing BP 40 systolic PR 120/min What are … Continue reading
The following abdominal x-rays are from a 60 year old with abdominal pain and distension. What two radiological signs can be seen? Answer will be posted on 7/10/15.
27 year old with weakness presents with… alkalaemia metabolic – very high HCO3 Respiratory compensation is adequate (expected CO2 48, actual 52) normal anion gap severe hpokalaemia and moderate hypochloraemia Normal glucose and lactate Interpretation: Compenasted metabolic alkalosis with severe … Continue reading
The lateral knee x-ray shows a deep depression of the lateral condylopatellar sulcus. This is known as the lateral femoral notch sign and is indicative of an associated ACL tear. Our patient went on to have an MRI of the knee which … Continue reading
A 27 year old female presents with weakness and lethargy. Her blood gas shows: pH 7.487 (7.36-7.44) pCO2 52.8 (35-45 mmHg) HCO3 39.9 (24 mmol/l) BE 14.8 (-2–+2) Hb 145 g/l Na 142 (137-145 mmol/l) K 2.6 (3.3-5 mmol/l) Cl … Continue reading
The following knee x-rays are from a 40 year old who sustained a left knee injury after a fall from a height. What can be observed? Answer will be posted on 30/09/2015.