Snakebite and Neostigmine
Expanding on my comments from the ALiEM Patwari Academy post on snakebites, here is some data behind neostigmine use in elapidae bites.
Möbius sign
Möbius sign: Diagnostic test in patients with Morbus Basedow (Graves disease) - the inability to maintain ocular convergence in the presence of hyperthyroidism.
Romberg test
Romberg test initially described in tabes dorsalis; now as a feature of all proprioceptive disorders of the legs or neuropathies involving dorsal columns.
Dupuytren contracture
Dupuytren contracture: A gradual thickening and tightening of the fascia under the skin of the palm and fingers in the hand.
Parry-Romberg syndrome
Parry-Romberg syndrome: progressive facial hemiatrophy usually involving the soft tissues of one side of the face. Parry (1825) Romberg (1846)
Stop peeing on it!
Many beach locations recommend the use of vinegar for jellyfish stings, and some go so far as to stock it at lifeguard(surf rescue) stations. But why did they decide to do that? Were there lots of studies performed?
Another complication of facial trauma
A 27 year old male with head and extensive facial trauma is admitted to the intensive care unit after a neurosurgical intervention for an acute subdural haemorrhage. There has been difficulty with oxygenation in the operating theatre.
Tired and afraid
'Tired and afraid' is a poem that could be about any one of a number of patients I have met over the past few years. But its not. It's about a man I recently met whose words are hard to forget. I doubt I was of much help.
It’s not a bird or a plane…
18 year old man day 7 in ICU after jumping from a building. Tracheostomy performed the day before. Acute respiratory distress with inability to pass a suction catheter through the tracheostomy tube.
Weingart on Pelvic Trauma
LITFL asks Scott Weingart for his take on the approach to the hemodynamically unstable pelvic fracture. The end result: a high yield mini-podcast. Enjoy!
Jess Bernard Weiss
Jess Bernard Weiss (1917 – 2007) was an American anesthesiologist. Best known for designing the Weiss needle for the placement of epidural catheters
Smith, Bell, and the Art of Observation
Sir Sydney Smith had humble beginnings in a village at the heart of the Otago gold fields, near the southern tip of New Zealand. After a stint in the New Zealand Army during the First World War and a colourful career as a medical investigator in colonial Egypt, he went on to hold the Chair of Forensic Medicine in Edinburgh.