Hypernatraemia and Acidosis
A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?
A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?
You are asked to review a 73 year old lady who is in hospital for treatment of septic arthritis affecting a prosthetic right hip joint inserted 5 years earlier.
An 87 year old female presented with a subarachnoid haemorrhage. GCS 8/15. Can you figure out her acid-base disturbance?
A 50 year old Chinese female presents with severe weakness. She has a history of previous similar episodes that self-resolved. What's going on?
Consider a 65 year-old male presenting with right-sided flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic:
A tall and thin 18 year old male presents with pleuritic chest pain and mild shortness of breath. What does the ultrasound show? Lung point
A 32 year old woman presents to hospital with right sided chest pain and shortness of breath after falling of her bicycle. What does the ultrasound show?
43 year old male presents with left sided chest pain after a collision on the sporting field. What does the ultrasound show?
Don’t get me wrong, mindful practice, self-reflective practice should all be encouraged. The trouble with mindfulness is when it’s prescribed as the sole solution to a cognitive error....
In this 'Postcard from the Edge', LITFL's Michelle Johnston reflects on her recent exposure to indigenous health in Australia's remote communities. The 'Edge' can be quite close to home.
aka Postcards from the Edge 005 Whilst most of our postcard stories of international medicine come from far flung locations telling tales of adventurous and exotic medical experiences, one could argue that a lot of international medical work starts at…
George Douros discusses the trouble with M&Ms and how we can avoid the old cycle of "name/blame/shame/train".