Medcram videos are useful for those brushing up on a broad range of core medical topics.
STEM: A 26 year old male presented to ED at 0730 with abdominal pain and vomiting. He took 100 tablets of 500mg paracetamol at 2230 the night before. He is normally fit and well, drinks regular alcohol and uses meth on most days. He is alert and orientated. [expand title=”RESUSCITATION”] A – B – C – : no acute […]
History: A 45yr alcoholic female with epilepsy, previous traumatic head injury and T2DM presented to ED following a syncopal episode and a fall onto her face. PMH: depression, PTSD and agoraphobia. On sertraline and carbamazepine. pH 7.55 Na 130 mmol/L pCO2 58 mmHg K 2.5 mmol/L pO2 35 mmHg Cl 58 mmol/L HCO3 51 mmol/L Glucose 6.1 mmol/L Lactate 1.0 […]
STEM: A 30yr old female presented with some epigastric pain. She has been taking paracetamol for a painful foot for the last 3 days. In the last 48 hours she has taken 14g of paracetamol, 9g were within the last 24 hours. Her last tablet was 7 hours ago. [expand title=”RESUSCITATION”] A – B – C –: there are no […]
Staggered Paracetamol Overdose Delayed Paracetamol and Polypharmacy Overdose
Describe and interpret this venous blood gas: History: A 56-year-old female found drowsy in bed in the evening after going to bed the night before. Had last been seen the night before going to bed after an argument. Took 30 x panadeine forte, 30 x combination antihypertensive (amlodipine 10mg / olmesartan 40mg / hydrochlorothiazide 30mg). Brought in to rural hospital GCS 14. […]