Case and images James Dent A 44F presents with chest pain for 20 mins, central chest reflux/burning sensation. Onset on leaning forward to open drawer. Now just in left shoulder. Then tingling to bilateral hands, feet and generalised and spasming of hands. Recently well OE: eyes closed, SaO2 100% on room air, HR 82, BP Read more about 13. Case of the month: chest pain[…]
Case and images Sarah Vaughan Discussion Genevieve Carbonatto A 55 year old man presents to the ED with 5 days of loin to groin pain and microscopic haematuria. He was started on nitrofurantoin as an outpatient for a possible UTI. A point of care renal ultrasound is performed This is a clip through his right Read more about 12. Case of the month: Renal colic[…]
Images Daniel Loui Text Genevieve Carbonatto A 60 year old lady presents with recurrent syncopes associated with frequent falls. 2 weeks prior to presentation she had a fall on her right buttock causing right hip pain. Subsequently she developed a small heamatoma over her right buttock and a larger right thigh haematoma. She presents with Read more about 11. Case of the month: Right hip pain[…]
Images Chris Fox A 14 year old boy presents to ED with throat and neck pain after persistent vomiting. He states he vomited > 30 times over the previous 8 hours. On examination: oxygen saturation 98% on RA, BP 128/89, HR 66/min. No obvious crepitaions to the neck. A chest Xray was ordered What can Read more about 9. Case of the month: PoCUS in pneumomediastinum[…]
This month I thought it might be good to review the basics of assessment of LV function. This is a PLAX. What are the 3 ways you would assess systolic LVF in this patient? To help you with this, compare the clip with the PLAX of a patient with normal LV function below. Look at Read more about 8. Case of the month: Assessment of LV function[…]
(Case and images courtesy of Dr Ed Brentnall ultrasound reg, text Jay Perera, Genevieve Carbonatto) Triage: -3.06pm on Wednesday afternoon -Cat 3 to acute bed. 2/52 of worsening SOB on exertion +dry cough. Postural drop with CDA. -Observations: BP 116/65, HR 80, RR 24, sats 96% on room air, temp 35.9C History -2/52 exertional dyspnoea Read more about 7. Case of the month: FELS (focused ECHO in life support) in patient with dyspnea[…]
Images and case Danielle Martinez An 89 year old lady presented to hospital with severe abdominal pain and collapse on a background of a known AAA. On arrival, she was hypotensive and pale with a reduced level of consciousness. A Point of Care Ultrasound was performed. A shows a transverse view through the mid aorta. B Read more about 6. Case of the month: AAA[…]
Images Dr Ed Brentnall. History: A 22 year old man presents to ED with 1 week of a sore throat, a mild productive cough, fevers and rigors for 8 hours. On examination : temperature 39.6, HR 143/min, RR 28/min, BP 133/60, Sats 98% on RA Bloods were ordered. His WCC was 11.3, his CRP 1.5 Read more about 5. Case of the month: Pneumonia[…]
Images Micky Fiorentino Triage: A 46 year old lady presented to the Emergency department after being referred by the early pregnancy assessment clinic for an ectopic pregnancy and admission under O and G. She is 11 weeks pregnant. It is an IVF pregnancy. She is hemodynamically stable and is not complaining of abdominal pain. This is Read more about 4. Case of the month: Ectopic pregnancy[…]
Case and images courtesy of Dr Micky Fiorentino (ultrasound under supervision of Dr James Dent) Triage at 1pm: 46F, representation with recurrent RUQ pain. Known gallstones. Representing with further pain, yellow skin colour and pale stool and dark urine. O/E Minimally tender RUQ, Murphy’s negative Jaundiced Initial blood tests: Hb 135 WCC 3.8 x 109 Read more about 3. Case of the month: Gallstones, dilated CBD[…]