Fits, faints, funny turns and fakers. Prolactin to the rescue….NOT
My colleague (Dr Dave) asked me today about the use of a serum prolactin level to diagnose a seizure in a patient presenting with “syncope...
Placebo paradox: Descartes dilemma
Your intern in ED has just seen a 25 yo. woman who has presented with 30 minute history of SOB, tachycardia and feeling like she...
Clinical Case 020: the ABC of APO
53 yo man with a history of hypertensive cardiomyopathy presents to ED at midnight with severe dyspnoea. No chest pain, no oedema, no fever, cough...
Medical Mythology: Adrenaline in the finger = gangrene. Not true
Admission: I have taught and preached, and practiced this dogma for my whole career. This is a great example of medical dogma, without any firm...
Kid’s coconuts and CTs
Blunt head injury in kids is one of the commonest presentations that we see in ED. In my experience, the rate of serious brain injury...