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Clinical Case 119: Trauma & the Sensitive New Age Ultrasound

Angry GF

OK tonight I have a trauma case for you. Billifred is a 24 year old man whom lives with his partner.  There relationship took a turn for the worse this evening when she found her sister’s underpants in his car. Billifred is a “lover, no a fighter…” but tonight he was forced to defend himself […]

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Clinical Case 118: Thinking outside the box

pretty brunette teen girl with a look of distress

OK team – a Paeds case for you today.  It’s one where I am going to give you just a few clues and you have to think up the diagnosis. Here we go….. Jemimanisha is an 8  yo. girl who lives in an Aboriginal community about an hour away. She has been brought to ED […]

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Clinical Case 117: Cancer Fishin’

fishing-pier-black-clip-art-105300

OK – this case is for all the GPs and Internal Medicine types out there.  This is a relatively common scenario…  how do you play it? Here’s the case. Bruce is a 53 y.o. accountant.  He is a little overweight at 89 kg (BMI 31).  He is otherwise relatively well, he cycles to the cafe […]

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Clinical Case 116: FEAST or Flush Fluids

Child_with_IV

Today’s case is about the Resus of severely dry children – very typical of Broome.  But before we get to the case – here is a bit of a review of some recent learning I have had on the topic.   I have started to rethink the traditional acute fluid resuscitation management of these kids.  The […]

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Clinical Case 115: Pneumothorax puzzle

ct cxr thumb

This case was interesting for a number of reasons.  It starts with a 50 year old lady whom has been assaulted.  She says she was kicked in the head and chest.  In ED she is looking sore but stable – and it was felt that she had enough mechanism to warrant a CT of her […]