Archives for April 2011

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Clinical Case 007: DKA update

This 35 yo man had a 20 year history of well controlled type 1 DM, on tds Novorapid + nocte Lantus.  Never had an episode of DKA, some hypos. Presented to ED at midnight with a history of vomiting and polyuria since 08:00.  Had been trying to drink water and had taken a small dose […]

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Medical Myth 002: Post-LP headache prevention

Case 006 – about meningoencephalitis raised a few queries amongst my nursing colleagues.  Specifically – how to prevent post-LP headaches. So I thought I would look at the data and see.  Rates of headache post-LP are reported as ~ 1/3 in most reviews We have all been taught the way to treat / prevent post […]

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Case 006: The Big Wet = Big headache

I was called in last week to manage this case and I found a few key decision points that required me to think a little harder than usual so I thought I would put it up for discussion. 29 yo. man flown in from Balgo (About half way between Broome and Alice Springs – middle […]

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Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer

The Poms have just released the 8th triennial report into Maternal Deaths in the UK.  It is worth reading if you do regular antenatal care or Obs and have 3 hours to spare (maybe during a troublesome second stage?).  If you prefer the shorter version to can read the Executive Summary (21 pages).  However there […]

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Asthma Update – keep the purple dragon in the cupboard….

The MJA has just released a review of the management of asthma in kids the review looks mainly at chronic / outpatient management and there are a few changes.  They also looked at acute management of asthma and have created a divide between young (< 5 yrs) and older children with regards to oral steroid […]