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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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Pneumonia Ultrasound Diagnostic Strategy

In June I will be travelling to the Emerald Isle to attend and learn at the SMACC Conference in Dublin.  One of my jobs whilst I am there is to help out on the SMACC Mini workshop – I will be talking about using lung US to diagnose paediatric pneumonia.  Clearly, I am a self-confessed […]

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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 […]

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Any Place for Race on the Coalface?

Last month (Feb 25th 2016) the New England Journal of Medicine published this editorial “Perspective” titled: “Dealing with Racist Patients.” In the article the authors – Drs Kimani,  Alexander K. Smith, Bernard Lo  and Alicia Fernández present this case vignette: A 77-year-old white man with heart failure arrives in the emergency department of an urban hospital […]

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Clinical Case 128: Northern Knee Nasty

OK, team.  This is a bit of a teaser for my SMACC Dublin talk “On How I Do Diagnostics”.  I won’t be giving too much away, but wanted to share a bit of local flavour when it comes to diagnosing a relatively common problem.  Acute monoarthritis of the knee…. Lets do a case. Jimmy is […]