Free educational blog for rural GP and proceduralists
May is still Women’s health month – so I invited my mate Dr Geordan Shannon back onto the podcast in order to get a refresher on cervical cancer screening – yes, the dreaded Pap smear. Geordan is a passionate advocate and researcher for Women’s health, sexual health and especially Aboriginal health issues related to reproduction [...]
A new review of the breast cancer screening ( mammography ) literature came out in the Lancet this week. This is essentially an expert panel reviewing old data – nothing new. The UK-based panel looked a the data from a number of long-running screening cohort studies and produced a set of round number estimates for the [...]
Not many topics in GP get more arguments going than prostate cancer screening – there are well-ignored guidelines, superstitions and lies, damn lies and statistics galore. (I got a giggle out of this comic from @bungeechump ;) - click the pic to enlarge) There have been a few big studies out in the last 5 [...]
Todays case – 69 yo woman presents to ED with 3 hour history of sharp, severe left abdominal pain. Pain is colicky, radiating down into groin. Urinalysis shows 2+ blood. So if you read the “frolic with colic” post and the wise comments from the readers you will be asking for an ultrasound – not [...]
Those of you who read Sepsis I may have been amused by my attempt to compare lactate to a Pap smear – OK, it is a long bow (?in the running for the Agincourt Award). But my point is, we just don’t do enough lactates in the typical ED to try and catch all the [...]
