January 26, 2015

We didn’t.

 

The AXR was read by both the emergency physician and radiologist as normal. There was no radiological evidence of intestinal obstruction; until we put the ultrasound probe on the patient’s...

January 26, 2015

 A man in his seventies presented with abdomen pain for 1 day. He had diabetes, hypertension and right hemicolectomy performed around 20 years ago from colonoic perforation. The pain was associated wi...

January 19, 2015

The patient has a large thrombus (red arrow) touching the mid anterior septal wall! This came as a surprise to us, as the patient insisted he had been well (even after direct questioning after the ech...

January 19, 2015

 

A foreign engineer in his thirties presented to our department with acute left hemiplegia. He was recently well, and has no past medical history.

 

Vital signs: BP 184/136mmHg, PR 91, RR 17, SpO2: 100%...

January 12, 2015

There is a small amount of pleural effusion (blue arrow). The IVC is almost collapsed (yellow arrow), or kissing each other, in end inspiration. This could be due to low right atrial pressure and...

January 12, 2015

A man in his 60s was brought in by the ambulance as a standby case. He was found by a passerby lying near a rubbish bin. 

 

At the emergency department, he was confused and pale.  Vitals: PR 123, RR 25,...

January 5, 2015

 

 

The ultrasound image demonstrated the EPSS, i.e. Enhanced Peritoneal Stripe Sign

 

This sign is diagnostic of pneumoperitoneum, first described in 1999 by Muradali.

 

Small amount of free fluid is see...

January 5, 2015

You might have heard of EPSS, or E Point Septal Separation, in echocardiography. What about EPSS in abdominal sonography ?

 

A middle age man presented to our A&E with 2 days of abdominal pain. Clinical...

January 1, 2015

ANSWER:

 

IV Alteplase 50mg.

 

The left common femoral vein was non-compressible, suggesting a deep vein thrombosis. In this clinical context, the cause of cardiac arrest was from a presumed PE. No amoun...

January 1, 2015

A middle age lady was found collapsed in the toilet. She has no significant past medical history. Her family did not notice anything unusual preceding the collapse. Upon arrival at the A&E, the 1st fi...

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