Archives for August 2011

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Tropical Trouble: Straight from the Crocodile’s mouth

Working in the tropics, we see a lot of unique presentations related to our colourful and often unfriendly fauna. Last year we had a run on crocodile bites, mostly the freshwater crocodiles who inhabit the local gorges and can give a painful nip if provoked.  However, it is  unusual to see a major injury – especially […]

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Sleep-deprivation, Slips and Safety

Here is an amusing story, at least my wife found it funny. Yesterday I went out to mow my lawn.  I filled the fuel tank, and spent 20 minutes trying to get the bloody engine going – no go.  So, being an anaesthetic type I systematically tinkered with the plumbing to find the error.  After […]

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Clinical Case 024: Livin’ the ketamine dream

If you are new to Broome Docs, then you might have missed my mild obsession with Acute Psychiatric Sedation.  (GO back and read the posts from earlier 2011 to get the background and some tricky cases to ponder.) Last night I had my first opportunity to put Dr Minh Le Cong’s secret weapon (ketamine) into […]

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Undiagnose, Unprescribe, Unharm… part II

This rant is inspired by something I witnessed yesterday when I went into my local pharmacy to pick up my mother-in-law’s meds.  I rarely ener a commercial pharmacy, so this was a novel experience for me.  Anyway, it is flu-season here in Oz, so I was in a line of coughing, sneezing, nose-wiping folks who […]

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Clinical case 023: Alarm Bell’s at 38 weeks

19 yo. woman G1P0 now 38/40 gestation, has been well throughout pregnancy aside from mild anaemia.  She presents to ED with “red eye”, and has a red eye, but more notably has a facial nerve palsy involving the upper and lower branches of VII.  Examination confirms Bell’s palsy and the slit lamp exam reveals a […]