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Stump the Chumps International on IM Reasoning

I am a big fan of the IM Reasoning podcast by Art and Nick from Auckland.   So I got in touch with the fellows and offered a case for their excellent ” Stump the Chumps” series  It is all about diagnostic reasoning- allowing the listener to hear the inner workings of the mind s […]

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Clinical Case 128: Northern Knee Nasty

OK, team.  This is a bit of a teaser for my SMACC Dublin talk “On How I Do Diagnostics”.  I won’t be giving too much away, but wanted to share a bit of local flavour when it comes to diagnosing a relatively common problem.  Acute monoarthritis of the knee…. Lets do a case. Jimmy is […]

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Clinical Case 118: Thinking outside the box

OK team – a Paeds case for you today.  It’s one where I am going to give you just a few clues and you have to think up the diagnosis. Here we go….. Jemimanisha is an 8  yo. girl who lives in an Aboriginal community about an hour away. She has been brought to ED […]

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Clinical Case 116: FEAST or Flush Fluids

Today’s case is about the Resus of severely dry children – very typical of Broome.  But before we get to the case – here is a bit of a review of some recent learning I have had on the topic.   I have started to rethink the traditional acute fluid resuscitation management of these kids.  The […]

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On Sick Kids, Sore Throats, Swabs and Such

Dear Fellow Doctors, I would like to take a moment of your time to discuss a point of medical practice which seems to remain controversial despite it being really common and a well-researched problem.  I would like to tell you about the modern management of the humble throat infection.  Yes, it is a really common, dare […]