Irukandji Syndrome Territory-style
You are working as a locum doctor in the Northern Territory. Your patient is a 32 year-old Indonesian man who says he was stung while hauling in a net on an offshore fishing vessel.
Month January 2019
Chironex fleckeri envenoming
Case-based question-and-answers on a near fatal box jellyfish sting. Can you save the day?
It was the little octopus!
A 21 year-old sailor placed a small blue and yellow octopus on his shoulder while wading back to shore after spear-fishing with a friend. As he reached the beach he threw the little octopus into the sea
Stingray envenoming
While riding in a boat off the North Queensland coast a 12 year-old boy was struck by a large fish that had catapulted itself out of the water.
Lionfish envenoming
Clinical case of a man being stung on the distal palmar surface of his right index finger by his lionfish (Pterois volitans) while cleaning his aquarium.
Theophylline overdose
Toxicological evaluation and treatment of a patient with theophylline toxicity
Little Johnny and Grandad’s warfarin
Little Johnny is an inquisitive 15kg 3 year-old boy. His grandad was looking after him for the evening. About an hour ago, the phone rang just as grandad was about to take his evening warfarin tablets. Although he only turned his back for a second, there was enough time for little Johnny to start ploughing into the tablets...
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease (COPD) = chronic bronchitis +/- emphysema; aka CORD (respiratory) or COAD (airways); environmental factors: tobacco smoke and air pollution
Lung Transplant
Can have one or both lungs transplanted depending on disease process. Single lung transplants only suitable for non-infective conditions that will not go on to damage new lung, with no cardiac disease
Negative Pressure Pulmonary Oedema
Negative pressure pulmonary edema (NPPE) is a form of noncardiogenic pulmonary edema (PE) that results from the generation of high negative intrathoracic pressure (NIP) needed to overcome upper airway obstruction
Oxidative Stress in Critical Illness
Oxidative stress is refers an imbalance between production of reactive oxygen species and the protection of antioxidants, due to the accumulation of free radicals and/or the inability of antioxidants to counter their accumulation or effects.
Ultrasound Case 074
An 18 year old man presents with fevers, right loin pain and dysuria. He has pyuria. You wonder about pyelonephritis or even an infected obstructed kidney so take a look with ultrasound.