thebluntdissection

pulling apart cases from the ED...

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another bubble of trouble…

January 3, 2017 By Christopher Partyka Leave a Comment

the case.

43 year old female is brought into your resuscitation bay by the paramedics.  She has a 2 day history of vomiting and diarrhoea on the background of type 2 diabetes and alcohol abuse.  Her son is concerned that she has become increasingly confused despite drinking her usual amount of alcohol.

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Filed Under: #FOAM, Acid-Base, Critical care, Infectious Disease, Interesting, Metabolic, Surgery Tagged With: emphysematous pyelonephritis, gas forming organisms, HAGMA, lactate, pyelonephritis

Mind the gap #2…

April 9, 2015 By Christopher Partyka Leave a Comment

the case.

a 43 year old male presents to your ED with a three day history of severe epigastric pain and recurrent vomiting. He has now become increasingly breathless and is complaining of severe retrosternal chest pain.

[Read more…]

Filed Under: #FOAM, Acid-Base, Interesting, Metabolic Tagged With: acid base, Delta gap, Delta ratio, HAGMA, High anion gap, hyperchloraemic acidosis, metabolic acidosis, NAGMA

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