Month November 2018
Ultrasound cases top 100 340

Ultrasound Case 005

A 66 year old woman presents with gradually increasing shortness of breath. She had a syncopal event whilst standing in church and remains grey and sweaty.

Ultrasound cases top 100 340

Pneumothorax Case 4

A 32 year old man presents with a 4 day history of increasing right sided chest pain and associated shortness of breath.

Ultrasound cases top 100 340

Pneumothorax Case 3

A 31 year old male presents after what is thought to be a superficial penetrating chest wound. You perform an ultrasound. What does this show?

EBM Gone Wild snake 1200

Copperheads don’t cause coagulopathy

Copperheads are common across the southeastern US, and are responsible for a significant number of crotalid envenomations in areas where they are endemic. However, they have the least potent venom of all the pit vipers, and often bites are self-limiting.…

Literary-Medicine-340

Warm summer nights

It was summer 2006, long days and warm summer nights, and I was an intern, living by the beach and working a rotation in emergency.

CCC Critical Care compendium 340

Pyroglutamic Acidosis

Pyroglutamic acidosis is a rare cause of high anion gap metabolic acidosis (HAGMA). When glutathione levels are low, the activity of γ-glutamyl cyclotransferase is increased, resulting in pyroglutamic acid accumulation in glutathione-depleted states

CCC Critical Care compendium 340

D-Lactic acidosis

D-Lactic acidosis aka D-lactic encephalopathy. Rare cause of high anion gap metabolic acidosis (HAGMA), typically occurs in patients short bowel syndrome or following jejuno-ileal bypass surgery