Managing the Critical Bleeder!!
What are the definitions used to define "Critical Bleeding" and "Massive Transfusion"?
Category LITFL
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?
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
Paget’s disease of the nipple typically presents as a persistent abnormality of the nipple–areola complex, often resembling eczema or chronic dermatitis. The nipple or areola may become erythematous, hyperpigmented, crusted and thickened. It is hardened or nodular, with surface scaling,…
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…
Heinrich Köbner
Heinrich Köbner (1838 – 1904) was a German dermatologist. Eponym: Koebner phenomenon; Köbner syndrome (Epidermolysis bullosa simplex)