76 year old male living alone. Found obtunded at home by neighbours. Breathing rapidly and muttering incoherently. No other history available. CATMUDPILES?
A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?
An 87 year old female presented with a subarachnoid haemorrhage. GCS 8/15. Can you figure out her acid-base disturbance?
A 50 year old Chinese female presents with severe weakness. She has a history of previous similar episodes that self-resolved. What’s going on?
Consider a 65 year-old male presenting with right-sided flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic:
An ICU patient has become increasingly ‘puffed’ post-tracheostomy. Can you figure out why? What are your going to do about it?
A 30 year old male presents with a 3 day history of fevers and increasing breathlessness. On presentation he is noted to be severely hypoxic with sats of 80% on room air. The following chest X-ray is obtained:
A 19 year old male is admitted after a severe traumatic brain injury. Due to refractory intracranial hypertension he is intubated and receiving 20mg an hour of morphine, 20mg an hour of midazolam and 200mg an hour of propofol.