
Ultrasound Case 071
A 24 year old woman presents with generalised abdominal discomfort. She is concerned she looks pregnant but numerous pregnancy tests have been negative.

A 24 year old woman presents with generalised abdominal discomfort. She is concerned she looks pregnant but numerous pregnancy tests have been negative.

Anorexia Nervosa = chronic, severe, multi-system disorder which is rooted in a fear of becoming overweight with deliberate weight loss

Status epilepticus is considered to have occurred when a generalised tonic-clonic seizure has lasted greater than 30 minutes.

Cervical Spine Fractures

Digoxin toxicity is characterised by gastrointestinal distress, hyperkalemia and life-threatening dysryhthmias, including increased automaticity and AV nodal blockade

Activated Charcoal: decontamination agent; absorbing molecules of drug on its surface -> inhibiting their absorption by as much as 50% -> excretion in faeces

Renal Literature Summaries

Optimal dose of renal replacement therapy (RRT) is controversial... the definition of dose in clinical practice is also a little controversial!

Opioid Withdrawal

Opioid Overdose: miosis; CNS depression; respiratory depression; complications of hypoxia: seizures, dysrrhythmia, brain injury

Paraquat Poisoning; highly toxic herbicide; common agent in suicide in 3rd world; leading single agent causing death from pesticide poisoning in many countries including Sri Lanka

The patient's form a heterogeneous group that requires a systematic approach based on early resuscitation where needed, risk assessment to guide further management and early consideration of the underlying psychosocial issues.