Category FOAM

Mind the gap…

the case. a 29-year old female with a past history of anorexia nervosa, polycystic ovarian syndrome, chronic back pain and analgesic abuse presents to the Emergency Department.  She describes 3 days of bilateral ankle and facial swelling.  She tells you…

faster than most…

the case. a 34 year old man presents to ED with chest pain & palpitations. His symptoms came on suddenly whilst doing light exercises at the gym.

pupils predict pathology…

the case. A 34 year old male is bought to your ED with reduced level of consciousness. He was at a restaurant having dinner with family & friends when he excused himself to use the bathroom. They found him 15 minutes later…

the unveiling…

the case. a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain.

back with a vengeance…

the case. a 59 year old male presents to ED at 2am with a two week history of progressive back pain. He is worried because it is worsening in severity and now radiates to the left flank & left-lower quadrant.

Quick Case #06

the case. 76 year old male presents to ED with 2 hours of retrosternal chest pain. He is clammy, diaphoretic & looks miserable.

Quick Case #05

the case. a 42 year old male presents via ambulance with chest pain following an motor vehicle accident.

Cliff Reid RAGE team

catching the culprit…

the case. a 32 year old male presents to ED with a 4 hour history of retrosternal chest pain. He has had the pain since midnight and it “just isn’t going away”. This is his ECG…

Busting the clotbusters (from SMACC 2013)

As revenge for an incident best left unmentioned, Chris Nickson of litfl.com handed me the poisoned chalice of speaking on tPA for stroke at SMACC 2013. This is the result. (Un)fortunately there is no actual video footage as I wasn’t…

hot & spotty…

the case. A mother brings her 18 month old child to your emergency department with a 24 hour history of fevers. She is now worried that her daughter has developed these little red spots.