Free educational blog for rural GP and proceduralists
This case comes from Dr Cathy Harris – a former Broome Doc, now living in Gunnedah NSW. Cathy describes a great case in which the common traps of diagnostic momentum, bias and back-to-front reasoning come into play. Here is the case as it played out: I am handed the triage note of a 39 year old [...]
This is a tough one – a clinical scenario that is unfortunately a bit too common in my part of the world. I want to know how you would go about balancing the fluids in this case, what will you use to measure the adequacy of the resuscitation / fluid administration. It is a tight [...]
This week a classic Australian remote area case. There is so much to discuss on this case! But I have isolated a few key points to put under the microscope, and get your input / expertise. 47 yo. Aboriginal woman has returned to the ED complaining of painless purulent lesions on her left foot. She [...]
Broome is one of the centres of Aboriginal Health care in Australia. One of the biggest disease burdens in the Aboriginal population is type 2 diabetes. The stats are scary, and the complications of this potentially managable disease are rife in our community. From preventable blindness to end-stage diabetic nephropathy – this is a crippling [...]
This 35 yo man had a 20 year history of well controlled type 1 DM, on tds Novorapid + nocte Lantus. Never had an episode of DKA, some hypos. Presented to ED at midnight with a history of vomiting and polyuria since 08:00. Had been trying to drink water and had taken a small dose [...]
