A 3 month old girl is brought to your emergency department after three days of diarrhoea and vomiting. She appears very unwell and lethargic, with sunken eyes, a sunken fontanelle and dry mucous membranes
Investigation Quiz 023
April 12, 2011 By
An 84 year old man is brought to your emergency department following a high speed car accident. He has signs of multiple left rib fractures.
Investigation Quiz 020
August 1, 2010 By
A 45 year old woman with a past history of depression presents to your emergency department with 2 weeks of nausea, weakness and lethargy. There has been no vomiting or diarrhoea.
Quiz Investigations 016
March 10, 2010 By
A 59 year old obese man receives 5 mg of intravenous morphine for analgesia for abdominal pain. Thirty minutes later, his GCS has fallen to 12 and investigations are performed.
Don’t put your Patient in a Box
January 7, 2010 By 3 Comments
The fourth rule of Expensive Scare Medicine is: ‘If you measure something and it is not normal, make it normal if it is safe to do so’. But beware! This can lead to a dangerous and insatiable desire for ‘euboxia’ – the pathophysiological state whereby ‘all boxes on a pathology print-out are in the normal range’.
Meningococcal menigitis
November 25, 2009 By Leave a Comment
Consider a 21 year-old presenting to the emergency department with fevers and agitation.
His lumbar puncture results are shown below:
Quiz Investigation 014
November 7, 2009 By
A 45 year old alcoholic man presents following malaena and haematemesis. Urgent biochemistry is performed which shows:
Quiz Investigation 013
November 7, 2009 By
A 25 year old man presents after a two day illness of fever and vomiting. The following investigations have been performed.
Quiz Investigation 012
November 7, 2009 By
A 60 year old previously well woman presents to the emergency department with a 12 hour history of rapidly worsening fever, prostration and upper abdominal pain.
Quiz Investigation 006
November 7, 2009 By
A 27 year old previously well woman presents with a 24 hour history of fever and headache. A lumbar puncture is performed.
