Archives for February 2012

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Paracetamol: mostly harmless?… the sequel

Got a comment from my colleague – Dr Y Levy that got me thinking about fever, the big picture and all those little kids getting dosed up by well-meaning parents.  So I have revisited the Panadol debate Here is what Hoods had to say in his comment: “Way back in 1927 Julius Wagner-Jauregg won a […]

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Paracetamol: mostly harmless?

This post was inspired by Colin Parker (the original C. Parker) and the team at EMPEM.org who did a discussion on the recent paper released by the ISAAC group (International Study of Asthma and Allergy in Childhood).  This collaborative of researchers (based in NZ, but internationally reaching – kinda like Dr C. Nickson) has been […]

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Ultrasound for pneumonia – sounds crazy?

You may have noticed my recent obsession with all things respiratory.  Seeing and personally experiencing a lot of LRTIs recently.  A few weeks back Cliff Reid @resus.me put up this article for discussion: Lung US for pneumonia in ED, Emerg Med Journ 2012.  Which suggests that US is at least as good as an CXR […]

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Clinical Case 042: Cough with a significant negative

Todays case is not too tricky.  The context is a recent epidemic of bronchiolitis in the Kimberley region.  So lots of coughing, sick babies all over the NW. This 3 month old girl presented to a remote nursing post (just under 1000 km away) with a one day history of cough, increasing dyspnoea and a […]

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Who hears a whoop?

Whooping cough is a kids disease?  That is the public perception and one docs might believe as well. We have had an epidemic of B. pertussis in WA this past few months, despite pretty good vaccination rates – so where does this bug come from? There is a large pool of whooping cough in the […]