post

Migraine Prophylaxis: preventing you a headache

Lottie_Collins_sings_and_dances_to_the_tunes_of_Ta-Ra-Ra_Boom-de-ay_in_a_Bromo-Seltzer_ad

Migraine headaches are common.  They can be really disabling for patients and if they occur with any frequency they can make life miserable.  Fortunately there are many options out there for the longer term management and prophylaxis of migraine and other primary headaches. The only problem for us is that there are so many, seemingly […]

post

Clinical Case 105: Headache Take 5

X-ray-of-headache-001

Ok Neuro nerds…  here’s a quick case to test your diagnostic skills.  It is one of those common scenarios we see. 35 year old man presents for the 5th day in a row complaining of the same headache he came in with on the 1st day! He is usually fit and well, but has been […]

post

Clinical Case 104: FAST Thinking

RUQ FAST view

This is a trauma case.  I want to use this case to illustrate something about the way we think about trauma when it comes to making calls using ultrasound – specifically the FAST exam.  FAST exams are ubiquitous in modern ED practice – but if executed and interpreted poorly – they are potentially a source […]

post

Quantum Quandaries, Diagnostic Decoherence and Probabilisticians

waves

So I imagine you have just read the title of this post and thought – “Casey has finally lost it!” – or something to that effect…. Diagnostic Decoherence – it sounds like the title of an obscure SMACC lecture. So what am I rambling on about – what is this concept? Where does it come […]

post

Clinical Case 103: Midnight MacGyver Medicine

midnightcowboy

This is an exercise in medical minimalism.  I am going to throw you a case and a set of resources – you need to say how you would manage it.  I am going to release my strategy in a few days.  So here we go – here is the case… Firstly, a little bit of […]