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Case of the Month #44 High Anion Gap Metabolic Acidosis

A 66-year-old male is brought into the Emergency Department by ambulance with reduced consciousness and severe agitation. The patient had complained of chest, abdominal and back pain at home. He has a past medical history of type 2 diabetes mellitus, hypertension, ischaemic heart disease...

Authors Dr Jamie Gibson and Dr Adam Walker

Case of the Month #45 Major Obstetric Haemorrhage - Part 2

Part 2 - Assessment and Management of Coagulopathy and Specifics of Management of Ongoing MOH

In part 1, you were presented with a 39-year-old multipara who suffered a postpartum haemorrhage (PPH) following a normal vaginal delivery which progressed to Major Obstetric Haemorrhage.

Author Dr Michelle Bradshaw

Case of the Month #45 Major Obstetric Haemorrhage - Part 1

A 39-year-old grand multipara (Gravida 7 Para 5) presented to the Labour Ward actively labouring at term. Apart from a long history of smoking, she was otherwise fit and well with a BMI of 28.

Her obstetric history included one forceps assisted delivery, followed by a miscarriage and then four vaginal deliveries.

Author Dr Michelle Bradshaw

Case of the Month #33 Toxic Shock Syndrome

A 22-year-old woman presents to the Emergency Department with fever, chills, headache, muscle aches, and a diffuse erythematous rash resembling sunburn over her body.....

Author Dr Elaine Yip