The chest x-ray is from an adult with chest pain post MVA. What can be seen? Continue reading
ECG of the Week 20 Nov 24
A 60yr old female presents to ED with 3hrs of pleuritic chest pain radiating to the back associated with diaphoresis. What two features can be seen on her ECG?
What management should we initiate for this patient?
Imaging Case of the Week 609
The ankle images are from a patient who has sustained a twisting injury to their ankle. What can be seen? Continue reading
ECG of the week 13th Nov 24
This week our patient is a 34yr old gentleman who presents to the ED with a 1 week history of chest pain and palpitations, his initial ECG is:
His potassium and magnesium are borderline low so you commence IV replacement while you wait for serial troponin results. While this is happening, you respond to a Met call on the patient. This is his rhythm strip:
What is the management for this patient and what is the disposition?
Imaging Case of the Week 608
The following chest x-ray is from an elderly patient with cough & dyspnoea. What radiological sign can be seen and what does it signify? Continue reading
Lab case 452
17-year-old boy with wrist fracture. This patient became blue during manipulation of the fracture under bier’s block anaesthetic effect.
Arterial blood gas was performed and it showed the following:
PH = 7.30
PCO2 = 28 mmHg
Lab case 451 interpretation
This VBG was from a young girl with sever gastroenteritis (Vomiting and diarrhoea) for 3 days.
PH = 7.52, that is moderate alkalaemia.
pCO2 = 21 mmHg. So, we have respiratory alkalosis.
ECG of the Week 30 Oct 24
Today’s ECG is a 45yr male who presents to ED with a 12hr history of epigastric pain and diaphoresis. He is an ex smoker, no other cardiac risk factors.
His observations are HR 65 BP 110/70 RR19 Sp02 99% RA
His ECG is shown:
What can be seen on this ECG? What disposition, further investigations, and management would be appropriate for this patient?
ECG 16 October
An 80yr male presents with 2 weeks increasing shortness of breath, he has a history of CABG. What can be seen on the ECG:
If these were new findings what might you be concerned about?
Imaging Case of the Week 607
This chest x-ray is from a 23-year-old with right shoulder tip pain. What can be seen? Continue reading