Cases
CONFIDENTIALITY & CONSENT: The following photos and videos are of real patients seen in Port Moresby Emergency Department during March 2013. All photos and videos have been acquired after verbal consent from the patient or legal guardian, with the explanation that these media are only to be used for teaching/educational purposes. Please respect the confidentiality of these patients by not distributing these images / videos for other purposes.
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17 yr old male with 2 months of right arm swelling with multiple pustules and pungent odour. Likely filariasis with concurrent cellulitis.
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8yr old with snake bite neurotoxicity showing ptosis, respiratory paralysis, power 1/5 all limbs
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27yr with exophthalmos, goitre, palpitations = likely Graves disease
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8yr female with opisthotonic posturing due to severe cerebral malaria
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62yr with Cryptococcal Meningitis confirmed on CSF Indian ink stain, with incident R Lung mass ?cryptococcal abscess ?TB ?tumour
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52yr male thrown from moving vehicle, 6 fractured left ribs with massive L pneumothorax, haemodynamically stable
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49yr diabetic with severe DKA, pH 6.95, severe hypokalaemia 1.7 while on insulin
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49yr diabetic with DKA, hypokalaemic PEA arrest with K 1.8, ECG shows hypokalaemic changes of PR prolongation, ?U waves
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27yr presents with palpitations and massive goitre = likely Graves Disease
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19yr male with snake bite, family placed tourniquet around leg and cut fang bite site with razor blades to “release the poison” = more education needed about snake bite first-aid
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29yr Potts TB Spine T10 vertebrae with flaccid lower limb paralysis
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8yr old with snake bite neurotoxicity, intubated in ED, ventilated in ICU for 4 days, discharged home day 7
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There are no computer records in Port Moresby ED, all notes are handwritten in exercise books purchased by the patient
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8yr boy with 2 week history of leg ulcer ?actinomycosis
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52yr male thrown from moving vehicle, 6 fractured left ribs with massive L pneumothorax, haemodynamically stable
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CT work room
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48 yr male with mal-union of fracture from 2 years ago, has been using crutches for 2 years!
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12yr male fell from tree, pelvic pain, unable to walk, pelvic fracture on Xray
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12yr male fell from tree, pelvic pain, unable to walk, pelvic fracture on Xray
End Stage Rheumatic Heart Disease from EmergencyMedicinePNG on Vimeo.Ultrasound diagnosed Pneumothorax from EmergencyMedicinePNG on Vimeo.
Goitre from EmergencyMedicinePNG on Vimeo.