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On Sick Kids, Sore Throats, Swabs and Such

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Dear Fellow Doctors, I would like to take a moment of your time to discuss a point of medical practice which seems to remain controversial despite it being really common and a well-researched problem.  I would like to tell you about the modern management of the humble throat infection.  Yes, it is a really common, dare […]

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Relative Absolute Risk

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Gday!  This post is inspired by a few things: A. Dr Andre Bonney (@keeweedoc) who tweeted earlier this week –  B. This article that came out in the Lancet August 16th 2014 on Blood pressure-lowering treatment based on cardiovascular risk: a meta-analysis of individual patient data The bottom line is: “Lowering blood pressure provides similar relative […]

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Migraine Prophylaxis: preventing you a headache

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Migraine headaches are common.  They can be really disabling for patients and if they occur with any frequency they can make life miserable.  Fortunately there are many options out there for the longer term management and prophylaxis of migraine and other primary headaches. The only problem for us is that there are so many, seemingly […]

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Optic nerve sheath diameter: window to the soul?

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Almost exactly 3 years ago I posted an article looking at the utility of ultrasonographic Optic Nerve Sheath Diameter measurement to assess patients for raised intracranial pressure.  That post is here The idea is sound, the optic nerve sheath is an extension of the subarachnoid space – so if ICP goes up it should expand […]

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Medical myth : Give Max with your Morph?

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Gday readers.  This post is the result of a recent Twitter discussion involving a group of FOAMites including: @EMManchester, @smotovmd, @EMS_Junkie, @ KangarooBeach, @rfdsdoc, @MDAware, @Darn_if_i_know, @OneArmWonder, @Lyall I had a very Orthopaedic weekend – footy season is back, lots of minor injuries.  And then the seasonal influx of tourists – means a lot of […]