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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 […]

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PODCAST: Really Rural Surgery with Dr. Bret Batchelor

Dr Bret Batchelor is a Canadian GP working in rural British Columbia.  He is also a part-time surgeon practicing his “Extended Surgical Skills” in a small town. Over the last year Bret has been podcasting at “Really Rural Surgery“.  The podcast is a heavily evidence-based look at the practice of Surgery & procedural Obstetrics with […]

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Clinical Case 113: Feeding Me Softly

Today’s case comes from Dr Trent Little – chronic Broome JMO and now my right-hand man in the Education Department (  i.e.. we share a desk ;-]  ).  This is a great Kimberely case – all the usual mix of third and first world medicine that just doesn’t happen much in the city.  Lets jump […]

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Clinical Case 110: Sepsis, Scans and Surgeons

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 […]

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Clinical Case 104: FAST Thinking

This is a trauma case.  I want to use this case to illustrate something about the way we think about trauma when it comes to making calls using ultrasound – specifically the FAST exam.  FAST exams are ubiquitous in modern ED practice – but if executed and interpreted poorly – they are potentially a source […]