LITFL Update 058
Update 058. Sending you FOAMed content from around the globe. Latest trends and best articles so that you stay top of your field.
Activate or Wait – 005
45 year-old man with two hours of central chest pain. Smoker, significant family history of IHD. ETA 20 minutes.
Activate or Wait – 004
86 year-old woman with two hours of dull chest pain and dizziness. Ex-smoker with hypertension and dyslipidaemia. ETA 20 minutes.
Malignant Hyperthermia
Malignant Hyperthermia = pharmacogenetic disease of skeletal muscle induced by exposure to certain anaesthetic agents; incidence 1:5,000 -> 1:65,000 anaesthetics (suspected); mutation in the gene coding for the ryanodine receptor
Activate or Wait – 003
58 year-old man with one week of pleuritic chest pain and SOB. Background of previous pericarditis. ETA 30 minutes.
Carl Wernicke
Carl Wernicke (1848–1905), German neurologist who described Wernicke’s area and aphasia, and identified Wernicke’s encephalopathy from thiamine deficiency
Eponymous Hernia
Eponymous hernias: clear definition, etymology, and a quick guide to types—Amyand, de Garengeot, Littre, Richter, Spigelian, Bochdalek, Morgagni.
CT Case 096
30-year-old male presents following a work place injury. A 20cm metal rod has fallen on his face, resulting in a penetrating orbital injury.
Activate or Wait – 002
Further reading
Klumpke Palsy
Lower brachial plexus injury, with consequent weakness and wasting of the C8–T1 musculature. Augusta Klumpke (1859-1927)
Activate or Wait – 001
46-year-old male with one hour of central crushing chest pain. Background of hypertension, morbidly obese and a heavy smoker.
CT Case 095
A 66-year-old lady presents with left sided facial droop and hemiparesis, headache and vomiting. A CT stroke series is performed