Thomas sign
Thomas's sign: Silver, aluminium or metallic coloured stools. Caused by the combination of cholestatic (acholic) pale stools secondary to CBD obstruction and the black-tar colour malaena.
CT Case 072
A 78-year-old lady from a nursing home is brought into ED by ambulance with acute upper abdominal pain, vomiting, and abdominal distension.
CT Case 071
A 42-year-old lady presents with three weeks of headache. She has a past history of recurrent unprovoked pulmonary embolus
CT Case 070
A 50-year-old unrestrained male passenger involved in a high speed MVA is brought in by the pre-hospital team to your emergency department after a 60-minute retrieval time.
CT Case 069
A 70-year-old man presents with 3 days of abdominal pain and vomiting. He has had 15 vomits in the 24 hours prior to presentation
CT Case 068
A 60-year-old male is brought in by ambulance with fevers >40°C, rigors and confusion. He complains of a dental infection and associated facial swelling
CT Case 067
80-year-old female presents with four days of left flank pain and fever. She is febrile 39.5, HR 110, and hypotensive with SBP 90. Blood results reveal an acute kidney injury with creatine 120 and lactate of 5 A Non-contrast CT…
CT Case 066
A 71-year-old presents with vomiting and abdominal pain and inability to open his bowels. This was preceded by three days of diarrhoea.
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CT Case 065
A 70-year-old presents with flank pain 4 days after a renal biopsy for investigation of a renal mass. He has a previous history of bioprosthetic aortic valve and is on warfarin and aspirin.
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CT Case 064
A 70-year-old presents with flank pain 4 days after a renal biopsy for investigation of a renal mass. He has a previous history of bioprosthetic aortic valve and is on warfarin and aspirin.