A 74-year-old obese female with type 2 diabetes is transferred to your ICU from a district hospital with a diagnosis of ascending cholangitis. Ultrasound has confirmed an impacted gall-stone in the common bile duct.
A 26 year old woman presents to the Emergency department having been found at home confused and jaundiced by her GP. Her GCS is E3V5M5 She has a Temp of 38 ˚C, BP 90/60, HR 90 and SpO2 94% on 4litres/min O2
A 69 yr old male is admitted to Emergency Department with 3 day history of central abdominal pain and vomiting. His past surgical history includes a total colectomy four years ago for a perforated sigmoid carcinoma followed by chemotherapy and no evidence of recurrence.