Thursday, March 09, 2006

 

Bradycardia+headache E4M6V5



Recently I encounter a 60 y/o male patient c/o headache 2 days ago and now still dizziness, nearly faint and unstable gait when standing. He came to triage with vital signs: 145/81 45 20 36.6 C. Coma scale E4M6V5. I am wondering there is no chest tightness nor chest pain, why the EKG showed sinus bradycardia. But patient mention he had unstable gait that nearly tilted to one side on standing, so I order a brain CT scan and shown above. What do you see and what will you do?


##Still trying wordpress blog page but the size of photo is too small, so I upload this case here in blogger##

# posted by ER Palm @ 5:52 PM 2 comments

Saturday, March 04, 2006

 

My new blog page by wordpress

Recently I had created a new blog page by wordpress which can catergorize all my previous posts as a reference. Since I am still not familar with the functions of the new blog and need more try, I now using both blogger and wordpress alternatively and will be merged in the coming future. Let's wait and see. Check my new blog page here.

# posted by ER Palm @ 4:39 AM 0 comments
 

Leptospirosis present with jaundice, acute hepatic failure and renal failure.

Today I encounter a case of 28M noted body weight loss, poor appetite, jaundice, tea-color urine, lab data showed hypoxemia, acute renal failure, acute hepatic failure, prolong PTT, Dimer>2.0, FDP>32. Clinically suspected leptospirosis. Blood culture and pleural effusion had sent for examination but results are pending.
Here are some URLs for leptospirosis:
Leptospirosis from eMedicine
Leptospirosis Information Center
Leptospirosis Facts
Leptospirosis from medical students Britain

# posted by ER Palm @ 4:32 AM 2 comments

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