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The ECG below is taken from an 84 year old Nursing Home resident who complained of chest pain after a seated syncope. On examination his observations are within normal limits and he has mechanical heart sounds. Questions: Interpret the ECG. …
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The right wrist x-rays are from a 60 year old with wrist pain & swelling following fall on an outstretched right hand. What can be see?Answer will be posted in a few days.  
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The frontal knee x-ray shows avulsion fracture of the tibial spine and a small flake avulsion fracture on the medial aspect of the medial femoral condyle. The lateral knee x-ray shows significant knee effusion. MRI scan of the knee showed …
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Question 1: PH = 7.30, that is mild acidaemia. HCO3 = 18, that is low (less than 24), So we have metabolic acidosis. Once we have metabolic acidosis, next step is to calculate compensation and anion gap. For compensation we …
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You are reviewing a 43 yr old hypertensive patient who has been referred by their GP after presenting with central chest pain (currently pain free.) They have provided previous ECGs from today and a month before. ECG from a month …
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You are reviewing a 43 yr old hypertensive patient who has been referred by their GP after presenting with central chest pain (currently pain free.) They have provided previous ECGs from a month ago and today. ECG from a month …
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The following left knee x-rays are from a 13 year old who has presented with knee pain and swelling after twisting his knee at a footie match. What can be seen? Answer will be posted in a few days.  
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17-year-old boy with wrist fracture. This patient became blue during manipulation of the fracture under bier’s block anaesthetic effect. Arterial blood gas was performed and it showed the following: PH = 7.30 PCO2 = 28 mmHg PaO2 = 83 mmHg …
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The chest x-ray AP view shows a possible widened mediastinum (considering all the technical issues – AP view, rotated film, poor inspiration). The other obvious feature is  the stomach lying within the left hemithorax. With concerns for an aortic dissection, …
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78 years old female is brought to ED by her daughter with complaint of increasing lethargy, confusion for last few days. She has been vomiting intermittently for last 3 days . No diarrhoea, no fever. Her oral intake is reduced …
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