Recombinant Factor VIIa to the rescue!?
The trauma room has turned into a blood bath. You're going to have to buy new shoes. What should you throw at the patient - the kitchen sink or Factor VII?
Category LITFL
Managing the Critical Bleeder!!
What are the definitions used to define "Critical Bleeding" and "Massive Transfusion"?
Dealing with D-dimer debacles
An intern in the emergency department has been nervously standing behind you for the past ten minutes while you've dealt with a barrage of phone calls. He wants to discuss the positive d-dimer result of the patient he is working up. Y
Paget’s disease of the nipple
Description Paget’s disease of the nipple; disorder of the nipple-areola complex (NAC). Characterised chiefly by eczema like changes, it is a condition associated with underlying cancer of the breast. Clinical signs include: Hardening of the NAC Crusting A lumpy or…
Paget’s disease of bone
Paget's disease of bone is a metabolic disorder of the bone, resulting in deformation and pain. It most commonly affects the axial skeleton; pelvis, lumbo-sacral spine, skull, femur and tibia. Diagnostic imaging is a key part of modern day diagnosis, and many cases are in fact incidental findings.
Gut under pressure
A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off... Can you save the day in this gastrointestinal gutwrencher?
Snookered
You are assessing a 37 year old male in the emergency department. He appears to be in discomfort and states that he fell asleep at a party and thinks ‘someone put something up his back passage while he was out of it’.
Clinical Governance
Clinical governance is “a framework through which organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.”
A Lesson in History
A man, originally from Somalia, is jaundiced and has abnormal LFTs. Can you work out the cause?
Gut ache or Gordian knot?
A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed? Is this a Gordian knot?
Appendagitis
A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.
Köbner (Koebner) phenomenon
Description Köbner (Koebner) phenomenon – the appearance of isomorphic lesions following local trauma in skin areas that were not previously involved with the skin condition. That is, when patients with a cutaneous disease are stressed by exgternal cutaneous stimuli such…