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Clinical Case 137: It’s the quiet ones…

Another case from the Broomedocs archives.  This is a pretty simple case that contains a few good lessons. Our patient is a 30 year old woman called Bessy who has been in a long term abusive relationship.  She has a long history of injuries including ulna fractures, facial fractures and burns to her skin.  Sadly this […]

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Lessons Hard Learned: What scared Ross Fisher?

At the last SMACC outing in Dublin there was a stand-out lecture by Dr Ross Fisher ( @ffolliet ) entitled:  Things that Scare Me.  Ross is a bit of a presentation guru – and hence he had plenty of pressure on to deliver a great talk…. and he did exactly that.  It was a pin-drop-silently, […]

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Lessons Hard Learned: Dr Andy Buck

Today’s “Lesson” is all about knowing one’s limitations, scope of practice and appreciating the little voice inside one’s noggin. Dr Andy Buck is an ED Physician who works all over Australia, but is based in Melbourne where he runs the very excellent Emergency Trauma Management course. This is a case of procedural sedation which goes […]

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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 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 […]