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Clinical Case 117: Cancer Fishin’

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OK – this case is for all the GPs and Internal Medicine types out there.  This is a relatively common scenario…  how do you play it? Here’s the case. Bruce is a 53 y.o. accountant.  He is a little overweight at 89 kg (BMI 31).  He is otherwise relatively well, he cycles to the cafe […]

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Clinical Case 115: Pneumothorax puzzle

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This case was interesting for a number of reasons.  It starts with a 50 year old lady whom has been assaulted.  She says she was kicked in the head and chest.  In ED she is looking sore but stable – and it was felt that she had enough mechanism to warrant a CT of her […]

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Clinical Case 114: Skull and Crackedbones

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This case is inspired by a recent Twitter discussion with fellow Pads ED enthusiasts – Tessa Davis [ @TessaRDavis ] , Andrew Tagg [ @andrewjtagg ] , Rachael Rowlands [ @rachrwlnds ] and whoever else was reading. As a background – you probably should read my previous ramblings about Paediatric head injury assessments here: Kids […]

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Clinical Case 111: Toddler’s Tibia Tale

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Another quick ultrasound case. I usually work nights and weekends – and that means that we have no onsite Xray services.  Hence there is always a reason to use ultrasound to enhance our diagnostics!  In fact if you are coming to SMACC Chicago in June this year – you can hear me prattle on about […]

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Clinical Case 110: Sepsis, Scans and Surgeons

Another look at the left pelvic mass

Here is a case that may keep you guessing.  One for the US nerds.  Here we go: 25 year old tourist – visiting the town, she has been backpacking for 6 months and the history is a little vague… but basically she thinks she may have had a miscarriage about 5 months ago. She had […]