Category LITFL
ICE -Ian’s clinical emergencies 340

ICE 010: Skin rash and fever

A 22 year old man has just returned from a surfing trip to Timor. While away he developed a fever, headache and generalised aches and pains. The fever settled for a day or two but has now returned and he has developed a rash. The aches and pains continue unabated. He feels miserable.

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Black Snake Antivenom

Black Snake antivenom (equine IgG Fab) can be used to treat envenomation from the black snakes in Australia and Papua New Guinea, these include the mulga snake, Butler's mulga snake, Collett's snake, Papuan black snake, red-bellied black snake and the blue-bellied black snake

ICE -Ian’s clinical emergencies 340

ICE 009: Foot trauma

A 29 year old man stumbled into a gutter, tripped awkwardly and fell injuring his left foot. He has diffuse swelling and tenderness of the mid foot and is unable to weight bear on that limb.

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Roth spots

Roth spots: Retinal haemorrhages with white or pale centres, commonly associated with subacute bacterial endocarditis and immune complex mediated vasculitis.

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Dressler syndrome

Dressler syndrome: Fibrinous or fibrinohaemorrhagic secondary pericarditis that occurs as a result of injury to the heart or pericardium, either from myocardial infarction (MI) or cardiac surgery. Also known as post myocardial infarction syndrome

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Tuohy Needle

Tuohy Needle with Huber point: Non-coring type needle with a transversely curved wall and side hole giving it a long, sharp, curved tip. EB Tuohy (1946)

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Pacemaker Panic #2

An ECG case of pacemaker failure. Can you guess the underlying cause of the Pacemaker Panic?

ICE -Ian’s clinical emergencies 340

ICE008: ABG Puzzler

A femoral arterial blood gas sample is obtained from a 41 year old man...obtained when the barometric pressure was 272mmHg and the PiO2 47mmHg