Obstetric Bleeder
A 32 year-old woman is referred to the ICU post caesarean section. In the last 2 hours she has developed vaginal bleeding and oozing from her epidural site.
Month January 2019
Palpable Excitement
A 76 year-old man presents with a florid spreading violaceous rash over most of his body - Palpable Purpura - What is your differential diagnosis?
Sulfa Drug Discombobulation
Is it safe to give a patient frusemide if he has an allergy to sulfa drugs? Are you feeling slightly immunologically discombobulated? The answer's here.
Traumatic Angioedema
A 33 year old caucasian female presented to the emergency department following minor trauma to her upper lip. Traumatic Angioedema?
Vincenz Czerny
Biography Born 19 November 1842 in Trautenau, Böhmen, Austro-Hungarian Empire Died 3 October 1916 in Heidelberg, Germany Medical Eponyms Czerny operation (aka Cholecystopexy) Czerny pillar suture used in the operative treatment of congenital inguinal hernia in children Key Medical Attributions…
Pulsus Paradoxus
Pulsus paradoxus is defined as an inspiratory drop in blood pressure of 10mmHg or more during normal breathing.
Murmurs DDx
Heart murmurs are abnormal heart sounds believed to be caused by turbulent flow across heart valves or vascular abnormalities.
When assessing a murmur, determine 6 characteristics: position at which it is loudest, grade, timing, duration, presence of a thrill, radiation and changes during respiration or with dynamic manoeuvers
Co-oximeter
Co-oximeter: a device that uses spectrophotometry to measure relative blood concentrations of oxyhemoglobin, carboxyhemoglobin, methemoglobin, and reduced haemoglobin
High-flow nasal cannula
High-flow nasal cannula aka heated humidified HFNC or high floe nasal prongs used in cases of hypoxic respiratory failure
The perfect human pathogen?
With winter comes norovirus. This Q&A post tests your knowledge of what may be the perfect human pathogen.
Fever in a spinal patient
A woman had a spinal injury from a car crash at 2 years of age; she since had spinal surgery and has a baclofen pump. Now she has a fever - what's the cause?
Escaping bugs
A 13-year old female with pyelonephritis is being treated with ceftriaxone. Enterobacter cloacae is cultured. Got a problem with that?