A 67 year old man has been unwell for 10 days. He had some right upper quadrant pain, fevers, and then in that last 3 days has had abdominal distension, vomiting and has stopped passing stool or flatus. You suspect bowel obstruction.
In the 89th FFFF we find out how the Spanish health service intends to save 2 billion euros a year, what condition accounts for over 10 million courses of antibiotics each year in the US, as well as learn about a clever Dutch physiologist, ego bias and micromorts.
I have of late been reflecting on times past in EM, on how some things persist but others become part of the “good old days” that men of my age start to drone on about if given half a chance.
You learn early in medicine that you will never diagnose a disease that you don’t consider. We all suffer from tunnel vision, and this can result in misdiagnosis and ultimately significant morbidity for patients. Currently most of us are aware of the…
CCC Update 002 features a raft of changes in the wake of the TTM trial, as well as adaptive trial designs, ammonia, quorum sensing, Stenotrophomonas multophilia, obesity in trauma, and antibiotic timing.
Douglas Moray Cooper Lamb Argyll Robertson (1837–1909) was a Scottish surgeon and ophthalmologist. Eponym: Argyll Robertson pupils
The Galeazzi test, sometimes called Allis sign or Skyline test, is used to assess for hip dislocation, specifically testing for developmental dysplasia of the hip.
Additional reading from Normal CXRs; Eric Strong Interpretation series; the DRABCDE approach; CXR for the OSCE and of course the Top 150 CXR to try your luck!
Tim Minchin’s brilliant beat-poem “Storm” strikes a dagger in the heart of pseudo-medical flim-flammery and quackadelic mind muddling. You’ll be glad to hear that there is a new animated version…
Keeping your patient oxygenated during rapid sequence intubation has never been easier - with Own the Oxygen
If the light on the laryngoscope fails, clean contact between blade and handle, check bulb is screwed in place securely. If this fails, use a spoon
Funtabulously Frivolous Friday Five 084 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.