Archives for November 2011

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Clinical Case 035: to frolic with renal colic

68 yo man presents with a 3 day history of pain in the right iliac fossa.  This pain is classic for renal colic – comes on suddenly, gets really bad quick, pulses away for half an hour or so then goes away – leaving a dull ache in its place.  Some “dark urine” noted by […]

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RLQ Pain in Pregnancy (the sequel)

A few weeks ago Rob Orman (ER Cast) did a great interview with Dr Ingrid Lim at ACEP which looked at the diagnosis of the possible appendicitis in pregnant women.  Go and check out the 20 minute podcast at ERCast (click here) , then come back here to hear the sequel…. There are some great […]

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Massive Transfusion Protocol

Hi – Apologies for recent sluggish activity- I have been a busy Doc lately and working on what I hope are some good posts / resources for you all. The first Big project I am wanting your feedback on is my “Massive Transfusion Protocol” which you can click here – or I have added as […]

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Ectopic pregnancy – HCG hiccups, some older evidence

When I went to med school we were taught that the B-HCG level doubles every 48 hrs in early pregnancy – and if it wasn’t – you either had an ectopic or a miscarriage until proven otherwise. However, it turns out that this is not the case  – just when you thought it was safe […]

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Pancreatitis: to feed or not to feed?

Broome Hospital  – world leaders in rates of pancreatitis.  We see soooo much pancreatitis that it is just hardly worth doing serum markers, they are always up!  This for me is a “diagnose on history” scenario! So I thought I would look at the literature – and found a few interesting, practice-changing pieces of data […]