Hyperglycaemic hyperosmolar state is a medical emergency and is different from DKA and as such its treatment requires a different approach.
A man in his thirties presents to the ED after being instructed to do so by an optician, suspecting a stroke.
You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical but which one?
A 35-year-old male presents with central non radiating chest pain with ECG changes and a blood pressure of 241/179mmHg.
An 80-year-old woman arrives after an unwitnessed fall, uninjured but profoundly unwell - dizzy, fatigued, and oliguric. Could this be the tip of a multifactorial medical iceberg?
A 38-year-old man reattends obtunded and narcosed after being treated for a DVT the day before.
A 21-year old male has been stabbed outside of a night-club.
A 24-year-old presents with haematemesis on a background of alcohol excess.
An 18-year-old man presents with left upper quadrant and left lower chest wall pain following a fall from a skateboard at a height of approximately 4ft.
Young adult female patient presenting to the ED with abdominal pain, constipation and confusing findings in erect abdominal x-ray.
A 2-year-old boy is brought to the ED by his parents after accidentally drinking water from a glass where they had disposed of cigarette butts overnight.
An 11-year-old female re-presenting with an unusual facial swelling.
A 75-year-old female with no significant past medical history presents to the ED with sudden onset of sharp left upper quadrant pain.
A 45-year-old male, with unresolved cyanosis despite oxygen, presents with pleuritic chest pain and recent PE history. Arterial blood gas was performed to assess underlying hypoxemia.
A neonate presents to the emergency department with significant jaundice.
A 56-year-old gentleman cant bend his knee after 3 days of increasing pain and swelling.
A 70-year-old female presents to the ED with non-traumatic calf pain and swelling over the last 24 hours. She is completely unable to weight-bear.
An elderly lady, who has fallen on grass bank, presents with an obvious deformity of the right foot and pain in dorsal area foot.
A 59-year-old man pre-alerted to the PCI team with symptomatic CHB and received Atropine prehospitally. The patient is directed to the ED and is stable on assessment with significant bradyarrhythmia.
You diagnose DKA in a child, how much fluids do you prescribe?
A 30-year-old female athlete patient presents with hip pain progressively worsening for 3 weeks.
An 11-year-old boy is seen in the accident and emergency department by an SHO.
A 7-year-old presents with a red, painful eye following a playground trauma.
While working in the minors area of a busy teaching hospital's ED, a somewhat flustered junior doctor approaches you to confess her actions.