Ultrasound Case 055
A 78 year old woman has a pulsatile mass in her mid abdomen. You wonder whether it is an abdominal aortic aneurysm.
Death by caterpillar. Consider zebras, but don’t memorize them
I’ve given lectures on lepidoptera before. There are between 200-3500 envenomations from lonomia spp reported every year in Brazil, but they’ve increased yearly since 2000. This is most likely from increased time in the rain forest by loggers and people…
Woldemar Mobitz
Woldemar Mobitz (1889-1951) was a Russian-German physician. Applied mathematical approach to arrhythmias 1924 Mobitz Type I and II AV Block
Ultrasound Case 054
An echo reveals a dilated and poorly functioning right ventricle with RV wall thickness of 6mm (≤5mm). You wonder whether this is a massive pulmonary embolism or just the changes of chronic pulmonary hypertension.
The Death of Santa Claus
Disturbing news is coming from Enlightenment Boulevard where the UCEM Council Executive has recently received reports of the death of Santa Claus.
Everything you know about snakebites is wrong.
Well, maybe. The 6 T's though? Testosterone, Tank, Teasing, Tequila, Tattooed, and Tanktop? Yeah, they're not correct. The terms "legitimate" and "illegitimate" as pertaining to snakebites imply a perception of the patient that may cloud your judgement in treating.
Bells Jingle Around the World
Having demonstrated the Aussie Rusty Holden Ute, it is only fair that we travel further afield for some more great examples of Jingle Bell Joy
Yuletide Euphoria
Merry Christmas dear LITFL readers! Have a great day, however you like your bells to jingle.
Ultrasound Case 053
A 23 year old surfer presents several weeks after sustaining a foot injury with some mild swelling and pain in his mid plantar arch. 2 weeks previously he had been running along the rocks when he stood on something sharp. A small wound was present however his surfing desire proved stronger than his nociceptive instinct and he returned to the waves.
Are you using the heel hook for climbing? Should you?
Acute injuries in rock climbing either come from a fall onto the lower leg or from performing a hard move and injuring the upper extremity.
Words of Wisdom in Christmas Cheer
Christmas Brilliance from the Guru – Tim Minchin White Wine in the Sun I’m looking forward to ChristmasIt’s sentimental I knowBut I just really like it I am hardly religiousI’d rather break bread with Dawkins than Desmond TutuTo be honest…
No really, snakes can still hurt you after they’re dead
Even though we have all (hopefully) been taught that dead snakes can still envenomate people, apparently it hasn't been reported much in the literature. I say this because this case report is in press as of 18 Nov 2016.