84 year old chap with ?renal colic deteriorates. On review you find his pain has worsened and he is pale, sweaty and hypotensive. Is this a vagal response to pain, a reaction to his analgesia or something else? You scan his aorta.
Acute mountain sickness is more than one syndrome. When acute mountain sickness affects up to half of those who ascend beyond 4500m, it's something we really don't know as much about as we would like.
A 78 year old woman has a pulsatile mass in her mid abdomen. You wonder whether it is an abdominal aortic aneurysm.
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…
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.
Disturbing news is coming from Enlightenment Boulevard where the UCEM Council Executive has recently received reports of the death of Santa Claus.
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.
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
Merry Christmas dear LITFL readers! Have a great day, however you like your bells to jingle.
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.
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.
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…