Hypernatraemia and Acidosis
A 20 year old male presents with 3 days of lethargy and generalised malaise. He is confused and looks very unwell. Can sort out this metabolic muddle?
Category LITFL
Staph Sepsis Acidosis
You are asked to review a 73 year old lady who is in hospital for treatment of septic arthritis affecting a prosthetic right hip joint inserted 5 years earlier.
Metabolic Mayhem a Headache
An 87 year old female presented with a subarachnoid haemorrhage. GCS 8/15. Can you figure out her acid-base disturbance?
Waxing and Waning Weakness
A 50 year old Chinese female presents with severe weakness. She has a history of previous similar episodes that self-resolved. What's going on?
Could it be renal colic?
Consider a 65 year-old male presenting with right-sided flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic:
The trouble with mindfulness
Don’t get me wrong, mindful practice, self-reflective practice should all be encouraged. The trouble with mindfulness is when it’s prescribed as the sole solution to a cognitive error....
Postcard from the Edge in the Middle
In this 'Postcard from the Edge', LITFL's Michelle Johnston reflects on her recent exposure to indigenous health in Australia's remote communities. The 'Edge' can be quite close to home.
Talking about Global Health Drinks
aka Postcards from the Edge 005 Whilst most of our postcard stories of international medicine come from far flung locations telling tales of adventurous and exotic medical experiences, one could argue that a lot of international medical work starts at…
The trouble with M&Ms
George Douros discusses the trouble with M&Ms and how we can avoid the old cycle of "name/blame/shame/train".
Emergency Medicine, Thai Style
Chris Edwards' gives us a taste of Emergency Medicine, Thai style in this 'Postcard from the Edge'.
A Postcard from the Edge
Associate Professor Chris Curry has ventured the globe doing things as adventurous as Antarctic expedition medicine since becoming an Emergency Physician
The trouble with cognitive biases
Don't get me wrong, I am a big fan of Pat Croskerry and metacognition but I do wonder whether the rest of the medical profession has become a bit fixated on cognitive biases.