A 26 year old lady presents from home confused with a low-grade fever. Her blood pressure is 160/100 mm Hg. She has no gross motor deficits. Ten days ago she had an emergency termination of pregnancy for an intrauterine death that was complicated by disseminated intravascular coagulation.
A 3 year-old boy is BIBA with a reduced level of consciousness. He is protecting is airway, has a respiratory rate of 15/min, a pulse rate of 70/min and blood pressure of 85/35 mmHg. He is responsive to painful stimuli and has pupils 2mm in diameter. Can you keep out of harm's way?
The 'Ten Commandments of Emergency Radiology' according to Touquet et al (1995):
Funtabulously Frivolous Friday Five 122 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
30.1. A 62 year old lady has very significant bleeding following an uncomplicated total hip replacement. Her coagulation profile post blood transfusion is as follows: (a) List two (2) likely causes of her deranged coagulation profile. (b) List two (2)…
A couple present to the ED with vomiting and paraesthesiae after eating at a seafood restaurant. Can you help them by solving the seafood poisoning conundrum?
A man presents with hypoglycemia, but has no history of any other illness nor a history of ingesting a hypoglycemic agent. Can you unravel the puzzle?
A 37 year-old man is BIBA to the emergency department following a fire at his apartment. He has a fluctuating level of consciousness (currently GCS 11) and is hypotensive (BP 85/50). He has no evidence of airway compromise, burns or other significant injury.
A 5 year old girl is unable to walk and is becoming progressively weaker. She also complained of a lump on her head. Can you make the diagnosis?
There has been an avalanche of new recreational drugs hitting the streets recently. Apart from a few anecdotal reports, most of the information available to clinicians comes from those involved in drug culture. Given these limitations, treatment of toxicity from these new recreational drugs should be guided by the clinical manifestations and the known pharmacology of these agents. They're coming to an ED near you soon - are you ready?
Question With respect to community-acquired bacterial meningitis in Australia and New Zealand: a) List two common pathogens encountered AND the empirical antimicrobial therapy of choice in EACH the following contexts: (70% marks) i) Neonate aged < 1month ii) Immunocompetent adult…
Funtabulously Frivolous Friday Five 121 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.