EMergucate

MARCH 1, 2024

Question 1: PH = 7.30 that is mild acidaemia. HCO3 = 16 mmol/L (>24) so we have metabolic acidosis.

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EMergucate

FEBRUARY 25, 2024

Answers: PH = 7.39, that is within normal range/ pCO2 = 48 mmHg, that is slightly elevated (Can be considered normal for venous blood) HCO3 = 29 mmol/L.

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EMergucate

FEBRUARY 23, 2024

Proton Pump Inhibitor Use and Risk of Serious Infections in Young Children Marion Lassalle, PharmD, PhD1; Mahmoud Zureik, MD, PhD1,2; Rosemary Dray-Spira, MD, PhD1 August 14, 2023 doi:10.1001/jamapediatrics.2023.

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EMergucate

DECEMBER 26, 2023

The following chest x-ray is from a toddler taken post choking episode. What can be seen?

EMS 130

EMS 130

EMergucate

DECEMBER 18, 2023

Answers: Question 1: PH = 7.58, that is severe alkalaemia. pCO2 = 20 mmHg, so we have respiratory alkalosis. Next we need to calculate the compensation.

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EMergucate

DECEMBER 12, 2023

The following chest x-ray is from an adult with sepsis. What can be seen? Answer will be posted later.

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EMS 130

EMergucate

NOVEMBER 28, 2023

70 year old man presented with reduced level of consciousness. His venous blood gas showed the following: PH = 7.

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EMergucate

NOVEMBER 21, 2023

28 days old boy brought by his parents for multiple vomiting episodes. His venous gases showed the following: PH = 7.

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EMergucate

NOVEMBER 21, 2023

Adult patient with sepsis. What can be seen? Answer will be posted later.

EMS 130

EMS 130

EMergucate

OCTOBER 30, 2023

Answers: Hb = 115 g/L, that is mild anaemia.

OR 100

OR 100

EMergucate

OCTOBER 30, 2023

51 year old man, recently returned from the middle east, presented with shortness of breath. His CXR was normal. His arterial blood gases showed the following: PH = 7.

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EMergucate

OCTOBER 9, 2023

Question 1: We should consider ascending cholangitis in any patient with fever and features of obstructive jaundice till prove otherwise.

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EMergucate

OCTOBER 9, 2023

22 year-old-girl from african origin presented with severe chest pain.

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EMergucate

SEPTEMBER 18, 2023

Question 1: PH = 7.32 ( less than 7.35) so, we have mild acidaemia. PCO2 = 48 mmHg ( on arterial blood gas > 40), so we have respiratory acidosis.

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EMergucate

AUGUST 21, 2023

Answers: Volume of 25 ml is large, normal amount of synovial fluid in a knee joint is 0.5 to 4 ml. This indicates effusion.

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EMergucate

JULY 31, 2023

Question 1: PH = 7.13, that is moderate acidaemia. HCO3 = 9.4 mmol/L, Accordingly, it is metabolic acidosis.

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EMergucate

JULY 31, 2023

50-year-old man with history of type II diabetes and colorectal cancer. He is on Metformin and other anti-diabetic medications.

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EMergucate

AUGUST 1, 2023

The chest x-ray is from an elderly patient with dislocated hip. What can be seen? Answer will be posted later.

EMS 130

EMS 130

EMergucate

JULY 3, 2023

Answers: PH = 7.56, that is moderate alkalaemia We have low pCO2 (34 mmHg) and high HCO3 (30 mmol/L), both these values can lead to alkalosis. Most likely combined alkalosis.

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EMergucate

JULY 3, 2023

40-year-old man was brought to ED with low GCS after and ingestion of unknown substance.

ED 100

ED 100

EMergucate

JUNE 26, 2023

Boot shaped heart The frontal chest x-ray shows boot-shaped heart and pulmonary plethora.

EMS 130

EMS 130

EMergucate

JUNE 26, 2023

The chest x-ray shows features of right middle lobe pneumonia. There is air space opacity silhouetting the right heart border.

EMS 130

EMS 130

EMergucate

JUNE 26, 2023

The neck x-ray shows Diffuse subcutaneous emphysema in the neck.

EMS 130

EMS 130

EMergucate

MAY 10, 2012

When applied to simulation training and education fidelity is a term used to describe the ‘realism’ of a scenario.

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EMergucate

JUNE 7, 2012

So you’ve just seen a patient with confusion and abnormal behaviour. Where do you start ? What are the causes ? Consider are they dim at the top (DIMTOPPE) ?

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EMergucate

JUNE 7, 2012

We are often given warning of the impending arrival of high acuity patients by pre-hospital teams. So how do you approach this vital and often short period of time ?

Critical Care 100

Critical Care 100

EMergucate

JUNE 21, 2012

Trying to work out what is causing your patient’s shocked state is not only of diagnostic importance but will also … Continue reading →

Critical Care 100

Critical Care 100

EMergucate

JUNE 25, 2012

Polycystic Kidney Disease Complications Can by complicated by: – cerebral aneurysms – 4 – 10% … Continue reading →

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EMergucate

JUNE 25, 2012

With thanks to Eugen, Ed Burns (@edjamesburns), [link] [link] Your patient is a 38 yo man who presents with palpitations.

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ED 100

EMergucate

JUNE 25, 2012

With thanks to Prathiba. Your patient is a 18 yo man who presents with left shoulder pain after falling off his skateboard directly onto the shoulder.

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EMergucate

JUNE 25, 2012

Current therapeutic guidelines for the management of UTIs in adults First of all, just as a reminder, if you send the urine off for M/C/S for patients who are discharged home, please document under…

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EMergucate

JUNE 25, 2012

Staying with UTIs Urine testing in UTIs – urine cultures are not mandatory in nonpregnant women with suspected uncomplicated cystitis … Continue reading →

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EMergucate

JUNE 25, 2012

Asymptomatic bacteriuria – screen and treat as acute cystitis in pregnant women because of the risk of developing pyelonephritis and … Continue reading →

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EMergucate

JUNE 25, 2012

Your patient is a 2 yo boy brought in by his mother after he choked on a peanut.

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EMergucate

JUNE 26, 2012

Transfusion related lung injury (TRALI) = acute dyspnoea with hypoxia and bilateral pulmonary infiltrates during or within 6 hours of … Continue reading →

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OR Critical Care 100

EMergucate

JUNE 27, 2012

In SAD CAGES Interest Sleep Appetite Depressed Concentration Activity Guilt Energy Suicidal ideation

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EMergucate

JUNE 27, 2012

MATCH Malignant melanoma Anaplastic lung carcinoma Thyroid carcinoma Choriocarcinoma Hypernephroma ( renal cell carcinoma)

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