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Clinical Case 133: POCUS Perils [and the Debiasing Dance]

I am a mad point-of-care ultrasound [POCUS] fan.  I scan pretty much every patient that I can.  I do this to sharpen my diagnostic skills, practice and to explore new utilities of the humble ultrasound.  However, as my POCUS practice has matured and I have made countless errors; I am learning very slowly to do […]

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Clinical Case 132: Parker’s Peristaltic Palsy

Another case from the archives with a fair helping of ultrasound. 59 year old man with a complex surgical history.  He had an open cholecystectomy 20 years prior complicated by CBD injury and required a Roux-en-Y & CBD re-plumbing.  He has been doing pretty well until now.  He has some chronic hypertension and COPD which […]

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Clinical Case 131: the Latent Lover’s Headache

Hi there.  Just back from a great break in beautiful Vanuatu.  Seriously amazing place to visit and explore.  The beauty: death ratio is in balance! I have a case for you today which has come up a few times recently.  It is certainly something that does occur in the ED, but most GPs deal with […]

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Clinical Case 130: Painful Palate Puzzle

OK crew. Today I have a super quick clinical case for you. 42 year old man presents to the ED with a week history of pain in the palate.  He says he thought it was referred pain from a “sinus infection”.  He has had a series of these “sinus infections” recently and his GP has […]

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Clinical Case 129: A SMACC in the Head (ache)

HI ALL I need a little help with writing my talk for SMACC in Dublin this June – it is all about diagnosis in the ED. So I want to present a simple case to you here…  and I want you to answer it honestly, without referring to any papers – I am after your […]