Archives for March 2012

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Clinical Case 044: vesicles down under

Todays case is bread and butter GP / Paeds. 13/12 old boy presents with a 2 day history of mild fever, irritable and loose stools. Not much to find on exam except…… never forget to check the nappy region. This rash – yep those are vesicles What is your differential diagnosis? OK all you Paeds […]

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Happy birthday to Us

Broome Docs clocked up one year on the net this week! The stats:  118 posts, about 350,000 views and about a comment a day. Gotta say that at this time last year I did not expect this site to be much more than a repository of my teaching for my local trainees and colleagues. So […]

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Clinical Case 043: Post-op pain puzzle

This case comes from Dr Jonathan Ramachenderan. 59 yo man presents with a small bowel obstruction likely secondary to adhesions. He has a background history of 4 previous laparotomies for recurrent bowel obstructions and Chronic Back pain with a spinal fusion 10 years previously. He appears chronological older than his age and currently takes 100mg […]

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Paracentesis: are you stabbing in the dark?

Had a few problematic ascitic taps recently in our place – so I thought I would have a look at the evidence around paracentesis, what is new and what works.  There are a few medical “rules” out there for this procedure, but are they supported by the data? Click to see my review of each of […]