The Mystery of Chronic Pain

We often look at chronic pain patients in the emergency department as the bain of our existence. These patients patients will often challenge, confront and test all of our diagnostic and empathetic capabilities. But is it time for a better understanding and outlook at this…

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A Doctor’s Touch

Do you still rely on your physical examination skills or put more faith in the test you order? Abraham Verghese present’s an inspiring TED Talk on the power of the human hand in medicine and its use to touch, to comfort, to diagnose and to…

Tourette Syndrome – a fathers perspective

It was not until two years later that the diagnosis of Tourette's syndrome was made. 1997 was deteriorating into an annus horribilis. Edward had been in hospital for weeks with a severe septic arthritis of the hip, we sold our over-capitalized house and my brother-in-law in England needed chemotherapy for non-Hodgkin's lymphoma.

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Ultrasound Case 030

A 31 year old women presents with right lower quadrant pain and nausea. The onset of severe pain was 3 hours ago, whilst she had suffered some mild discomfort in the preceding 48 hours. Past medical history includes endometriosis and ovarian cysts. Inflammatory markers and BHCG are negative (CRP is < 1).

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Lung Ultrasound: Pneumonia

Pneumonia is an inflammatory, most commonly infectious process involving the lungs. Typically the alveoli in intensely inflamed areas fill with inflammatory fluid or pus, and this is known as consolidation. The changes may be widespread, patchy or lobar. Ultrasound can…