Images Bashir Antoine Chakar (Emergency Registrar) and text Genevieve Carbonatto A 72 year old man presents to the Emergency Department. He awoke in the early hours of the morning with acute abdominal pain which he thinks is due to what he had eaten the night before. He describes his pain as being 10/10. He has been Read more about Bowel oedema[…]
Images and text Genevieve Carbonatto. A 48 year old man presents to the Emergency department with severe abdominal pain. He has Crohn’s disease and frequently presents with abdominal pain. He has had a previous entero-enteric anastomosis. He is also self employed and hard working and always waits until his pain is unbearable before he presents Read more about Crohn’s disease – Bowel obstuction[…]
Images Genevieve Carbonatto, text Genevieve Carbonatto An 80 year old lady presents to the Emergency Department with a 4 month history of feeling unwell on and off associated with a 4 kg weight loss during that time. She presented acutely because the night before she developed mild abdominal pain and vomiting. She has been investigated Read more about Intussusception: Left upper quadrant mass[…]
Images Genevieve Carbonatto and Tina Cullen. Text Genevieve Carbonatto A 35 year old lady presents to the Emergency Department with chest pain. She has had a recent admission for drainage of a pericardial effusion (non malignant) and is concerned that it may have reaccumulated. An point of care ECHO was performed .There was no evidence Read more about PFO[…]
Images Genevieve Carbonatto A 10 week pregnant lady presents with PV spotting. On ultrasound 2 gestational sacs are present indicating heterozygous twins. This lady had had no previous scans. Each gestational sac contains a viable fetus with an active heart beat. Longitudinal scan through uterus Fetal heart beat visible twin 1 Fetal heart beat visible Read more about Twins, 2 gestational sacs, 10 weeks[…]
Images Sarah Vaughan (Emergency Registrar) text Genevieve Carbonatto There is a BAT call. The ambulance are bringing a 72 year old woman who suddenly , in front of her husband, was seen to slump to one side and appeared to have a left hemiplegia. In transit to hospital she has become less responsive and has Read more about Cardiac arrest : Aortic dissection[…]
Images Bashir Antoine Chakar, text Genevieve Carbonatto A 32 year old man presents with right flank pain. He had an episode of renal colic 2 years ago and presented to the Emergency Department back then. He had a CT KUB done at the time which showed a small stone in his right VUJ and a Read more about Renal colic – the twinkle artifact[…]
Ultrasound images Genevieve Carbonatto and Tina Cullen text Genevieve Carbonatto A 35 year old man presents to the Emergency Department with acute onset right flank pain. He has been having “niggles” of pain in the last week but suddenly at work he develops severe pain. He has microscopic haematuria on a urinary dip stick. You Read more about Renal colic[…]
Images Sarah Vaughan (Emergency Registrar) Text Genevieve Carbonatto A young 30 year old lady is brought in by ambulance with acute onset severe lower abdominal pain. The first thing you want to exclude is a ruptured ectopic. On arrival she is pale and looks shocked. She says she had a positive pregnancy test 2 days Read more about Ruptured ectopic pregnancy[…]
Echo images Matthew Oliver (Emergency Physician) Text Genevieve Carbonatto There is a BAT call. The ambulance are bringing in a man with severe back pain. 5 minutes later a 70 year old man is wheeled into the rescusitation room. He is in severe distress. He states he was lifting a box when he developed severe Read more about Aortic Dissection – Stanford Type A[…]