Crohn’s disease – Bowel obstuction

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[…]

Intussusception: Left upper quadrant mass

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[…]

Twins, 2 gestational sacs, 10 weeks

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[…]

Cardiac arrest : Aortic dissection

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[…]

Aortic Dissection – Stanford Type A

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[…]