a knackered neonate…
the case. You are working in a district hospital and are called to the Special-Care Nursery to assist with an unwell newborn infant. She was born 2 hours ago at 39 + 4 weeks gestation, to a primip mother who…
Category Medical Specialty
better late than never…
The case. An obese 86 year old female is bought to ED by private car with a 5-6 day history of progressive dyspnoea and fevers. She is promptly rushed into the resus bay in extremis with cyanosis & poor respiratory…
no bones about it…
The case. A 15 year old male is bought to ED by his mother with a complaint of throat pain after eating a meal of chicken skewers that were cooked on the family barbecue. He is alert and in no…
a test of metal…
The case. 64 year old female who is day 1 post elective left total-knee replacement. She has a past medical history of osteoarthritis, bipolar disorder and depression for which she takes quetiapine, lithium and paracetamol. You are asked to see her on…
Quick Case #01
A 24 year old male rugby player presents to your ED with a severely painful, swollen left hand which occurred during a tackle and subsequent ruck. These are his x-rays…. [DDET What about the lateral ??] [/DDET] [DDET What’s…
in or out ???
the case. A 34 year old insulin-dependent diabetic male presents to your ED following a “collapse” stating he thinks he has had a seizure. He has had hypoglycaemic seizures previously. He lost his glucometer 3 or 4 weeks ago and…
tPA – black and white or shades of grey?
This is a micro-post just to illustrate yet another problem with the Boehringer Ingelheim/Neurology juggernaut pushing the Emergency Medicine community towards lysing anyone with a tingle.
slip and fall…
The Case. A young boy is bought to your ED with an obviously swollen painful left arm after a slip and fall… These are his xrays… [DDET Describe this injury…] Type III Supracondylar…
off the pace…
An 80 year old male is bought to your ED via ambulance following a syncopal episode. He reports sitting on a church pew, when he apparently collapsed without prior warning
a twisting tale…
It’s night shift & you’ve received handover of an entire department. You plug on and start chipping away at the waiting-list that doesn’t seem ever get any shorter....
a swollen face…
The Case. A 36 year old male presents through your sub-acute area with increasing facial pain & swelling. He reports a simple trip and fall 18 hours earlier (no alcohol on board, recalls all events), where his right cheek struck…
a diligent driver…
The Case. A 25 year old registered nurse presents to her GP with a 6 day history of abnormal vision, which she noticed whilst checking her blind-spot when driving. This has been accompanied by painful extraocular movements & the sensation…