Patient treated as fluid overload secondary to cardiac failure (HFpEF). ECHO shows hypertrophied LV, walls kissing on PSLA, mitral valve anterior leaflet excursion good, seems like reasonable LVEF on gross viewing.Couldn’t obtain good SC4C view.
Patient presenting with worsening SOBOE.CXR suggests possible minor effusion with small blunting of CP angles, but no pulmonary oedema seen otherwise. LUS showed bilateral effusions and increased pulmonary oedema.But IVC doesn’t appear plethoric, LVF poorly assessed.
Elderly female patientRight pleural effusion Apical window shows normal lung with one B-line interrupting A-line artefacts.Posterolateral window shows atelectasis of right lung (starfish sign) due to large volume of pleural effusion. Liver and echogenic diaphragm also visualised on the right… Read More »Lung 1; large pleural effusion
Our current paradigm (STEMI/NSTEMI) is failing us and our patients. This is a broad overview and discussion on why the current STEMI/NSTEMI paradigm is no longer fit for purpose. Although ST elevation is a vitally important ECG change to recognise,… Read More »Acute Coronary Syndrome; an Evolution to our Approach (OMI/NOMI)
What do you do when you get handed an ECG with a rapid, narrow complex morphology? How do you interpret the aetiology, and how to manage it? We cover electrophysiology, recognition, and management of the main narrow complex tachycardias that… Read More »Narrow Complex Tachycardias
This is a two-part video series outlining a framework and approach to dealing with the acute and painful abdomen in an atraumatic context. Part I covers some anatomy and physiology that explains why abdominal pain can be so hard to… Read More »The Acute and Painful Abdomen
These videos cover a sensible approach to dealing with patients who present with facial injury. This is a two-part series, covering first an essential grounding in normal facial anatomy and x-ray images, followed by part II, which covers patterns of… Read More »An Approach To Facial Injuries (Part I & II)
We built a home garden gym; Spoiler before and after immediately below: Rationale for the Garden Gym After all the lockdown-drama surrounding the closing of gyms and stocks sky-rocketing in the fitness band sector, having reliable access to decent training… Read More »Building our DIY Garden Gym