Archives for June 2012

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Clinical Case 058: Syncope, again and again

30 year old man presented to the ED in an ambulance with his 3rd episode of syncope in the last few months.  The story this time is identical to the last few occasions.  He was well, had a few beers after dinner then got up to have a leak.  He passed urine, walked to th […]

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My first five months of GP Anaesthesia….the adventure it has been

It would probably be of no surprise to you that balancing being a father, a rural GP, husband and newly qualified GP anaesthetists (GPA) is not for the faint hearted. Throw into that moving to a country area away from your support network and into a new set of circumstances makes it a little more […]

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A Tale of Two Atria: AF management update.

One of my jobs at the Uni is to corral medical students into producing “grand rounds” presentations.  Usually I try and pick a topic that they need to know, and one that makes for a good discussion.  Recently 4 of my students – Jaz O’Neill, Sally Roberts, Jeffery Smith and Amy Klemm – got handed […]

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Clinical Case 057: big PE, now what?

This is a pulmonary embolism case – but I promise – not another diagnostic case.  That territory has been well covered by all the big names in blogging over the past 12 months. This case is about decision-making after the diagnosis is made. Risk stratification and the evidence as it stands in 2012… 60 year […]

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Clinical Case 056: Momma got a rolling stone

This young lady – 32 years old, currently 14 weeks by dating scan, G1P0 presented with epigastric pain and vomiting a hour after dining out at _____ (insert multinational drive-thru takeaway of your choice). She is rolling on the bed in pain, unable to lay still for more than a few seconds.  No PV blood […]