Archives for March 2012

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Clinical Case 045: Syncopal Salesman

37 yo man who works as a travelling sales rep.  He has a hectic lifestyle and is overweight.  Flies around the country a lot visiting hospitals selling medical equipment.  He presents via ambulance after having a syncopal episode in the local McD’s. The event was witnessed by a client and staff at the restaurant – […]

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Case 044: the answer

Ok, 24 hours in and we have a winner.  The most comprehensive and correct / first in (20 minutes) answer was from Egerton Yorrick Davis IV (I wonder what happened to the first 3 EYDs?)  His answer went right to the red heart of the problem and picked up the diagnostic pitfalls en route.  Here […]

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Clinical Case 044: Neuro Curio

A  40 yo. woman presents for review to her GP a week after having a laparoscopic cholecystectomy. She had been suffering with epigastric pain and and US showed gallstones, and a contracted GB.  So she elected to undergo cholecystectomy.She was discharged the morning after the surgery with oral oxycodone and paracetamol for pain. PMHx:  anaemia, […]

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C-spine Trauma: in a town with no CT

I worked for 4 years in a town with no CT (but plenty of beer) – and it is fair to say that the protocols for managing C-spine trauma were often makeshift.  Logistics rather than clinical acumen often determined who got a CT rather than ‘just’ clinical exam and a set of plain films.  But…. […]

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RSI: made stupidly simple

The Rapid Sequence Intubation is one of those “gotta have” skills for clinicians who work in frontline medicine. Fair to say there are a lot of sequences out there, but they all follow the same basic plan – prepare, inject the juice, and get the airway secured ASAP.  In recent years there have been a […]