a swollen face…
The Case. A 36 year old male presents through your sub-acute area with increasing facial pain & swelling. He reports a simple trip and fall 18 hours earlier (no alcohol on board, recalls all events), where his right cheek struck…
a diligent driver…
The Case. A 25 year old registered nurse presents to her GP with a 6 day history of abnormal vision, which she noticed whilst checking her blind-spot when driving. This has been accompanied by painful extraocular movements & the sensation…
eh-vee-arrr
The Case. A 38 year old male presents to your ED with left sided chest heaviness which radiates to his left shoulder & down the arm. He has associated dyspnoea, nausea & vomiting. He looks unwell. He underwent a CT-Coronary…
hard & soft…
The Case. A 22 year old male is retrieved to ED after a nasty workplace accident where he was pinned between a truck and wayward forklift. He had sustained injuries to his head/face, upper thorax and perineum, however our most…
a pulmonary pummelling…
The Case. This patient has been in your ED for over 24 hours waiting for a CCU bed. He presented with vomiting and syncope, but acquired left sided rib fractures during his collapse. He has been comfortable for most of…
an obscure acidosis…
The Case. 64 year old male attends your ED with a complaint for 3 months of progressive weakness, however over the past 7 days he has had multiples falls secondary to his ‘legs just completely giving way’. You note on…
headache for all…
The Case. A 28 year old female presents to your ED at 2am. She left the hospital 12 hours earlier with her newborn first child who is now 2 and half days old. Her main complaint is that of profound…
a poison puzzler…
the case. 23 year old female is bought to ED by her family after an intentional overdose of ~ 100 ‘diet tablets’ which she ingested 1.5-2 hours earlier.
The Hypocritic Corpus
As I stand over this: Screaming human? Patchwork Scarred Scared Amphetamine fuelled Pulsing rage, With a syringe of midazolam -fantazaslam! Invoking the Mental Health Act, As if I believe in it -The gospel according to psychiatry I realise this does…
iatrogenic acceleration…
The Case. A 46 year old restrained passenger in a high-speed MVA rolls into the resus bay. She is intubated & sedated [easily ventilated & oxygenated, no evidence of chest trauma], persistently tachycardic @ 160/min with a systolic BP of…
shades of grey…
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probe prevents probe…
Recently, a colleague of mine was wanting to perform a diagnostic tap on a patient with cough, fever and a CXR suggesting a left sided pleural effusion…. I was asked to perform a bedside USS to mark out the safest…