post

Clinical Case 134: Frequent Fitter Farmacology

Larry is a 45 year old man who is well known to your ED.  He is a frequent flyer [see podcast with Dr Seth Trueger] and attends most weeks after having a seizure in public somewhere. Larry has a background of a traumatic brain injury with a subdural haemorrhage 20 years ago.  This has left […]

post

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 […]

post

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 […]

post

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 […]

post

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 […]