Coarctation of the aorta in a neonate

Images Chris Harrington A 11 day old presents to the Emergency department in acute respiratory distress. His mother states that his SOB has increased markedly over the past 24 hours.  While on the way to hospital he has an episode of tachypnea  cyanosis and not breathing for 5 seconds. He has been feeding poorly all Read more about Coarctation of the aorta in a neonate[…]

Stanford type B dissection

Images Earl Butler, text Genevieve Carbonatto A 55 year old lady presents with acute numbness to her right leg and “dizziness” lasting a few hours. No back pain. No chest pain. There are no other neurological symptoms.  BP 175/85 HR 72/min, RR 16/min saturations 96% on room air. A brain CT COW is organised and Read more about Stanford type B dissection[…]

Bacterial endocarditis : Mitral valve

Images Nick Stewart, text  Genevieve Carbonatto A 50 year old man presents to the ED with a 6 week history of general malaise, fevers, night sweats and weight loss (10 kg). He had been prescribed 7 courses of Augmentin by his GP and felt generally better on this antibiotic. An outpatient CT showed some nodes Read more about Bacterial endocarditis : Mitral valve[…]

Lung ultrasound for pulmonary embolism

Images Edward Christian Text Genevieve Carbonatto A 65 year old man presents to the Emergency Department with a 1 week of cough and left sided chest pain. The pain is intermittent but worse at night when lying down. It is not exacerbated by activity. The patient  is experiencing shortness of breath when the chest pain Read more about Lung ultrasound for pulmonary embolism[…]

Pitfall : Retroverted uterus

Images and text Genevieve Carbonatto A 32 year old lady presents with PV spotting. She is thought to be 8 weeks pregnant. A point of care transabdominal scan is performed in the Emergency Department. This is her transverse scan of the pelvis The bladder is empty. There appears to be no gestational sac This is Read more about Pitfall : Retroverted uterus[…]

Giant retroperitoneal haematoma

Images and text Genevieve Carbonatto An 88 year old woman presents to ED from a nursing home hypotensive. She has recently been admitted to hospital with pneumonia, CCF, AF and bilateral below knee DVT’s. She was discharged on warfarin. She is generally feeling tired, has abdominal pain and is vomiting coffee ground vomit. On examination, Read more about Giant retroperitoneal haematoma[…]

Dilated CBD, pancreatic carcinoma

Images and text Kezia Mansfield and Olga Gaitsgory An 84 year old woman presents to the  emergency department with a week of nausea, anorexia and general malaise, without abdominal pain. She has a past history insulin dependent diabetes, GORD and osteoarthritis. It was noted on examination that she was moderately jaundiced, with a non tender abdomen. Read more about Dilated CBD, pancreatic carcinoma[…]