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I: Vancomycin & the Nephrocidal Maniacs

Vancomycin was first isolated in 1953 by Edmund Kornfeld from a soil sample collected from the jungles of Borneo by a missionary. It is produced by the soil bacterium Amycolatopsis orientalis. It was first licensed for use in patients with penicillin resistant Staph infections in 1958. Yes, vancomycin has been around longer than the Beatles! […]

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Northern Nautical Nasties

This is the vodcast version of a talk I am giving at the Australian College of Dermatology meeting next week. Why am I speaking at a Derm conference? Who knows! My knowledge of skin is superficial at best…. Anyway they wanted to know about things that might kill you in Broome…  so humans aside, these […]

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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 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 […]