no retreat, no reversal…
the case. a 79 year old female returns to ED with left sided chest pain & dyspnoea. She was recently admitted following a fall with rib fractures (including a flail segment) and a small haemothorax.
Category Medical Specialty
palpitations & presyncope…
the case. A 54 year old female presents to ED with an ‘odd sensation’ in her chest. This has been occurring intermittently for 2 months but has now increased in frequency & severity. She reports 3 episodes earlier today associated…
nasty big pointy teeth…
the case. A 2 year old infant is bought to your ED with a painful right hand. She claims to be have been bitten by the family dog 2 days earlier…
Quick Case #03
the case. 42 year old female presents to ED with a 4-5 day history of central chest tightness. She has poorly controlled type 2-diabetes.
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…
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…