Pitfalls of using amylase to confirm pancreatitis
A 30 year old man presented intoxicated to A&E. He didn’t speak much English, and was triaged as ‘abdominal pain and vomiting’. With the help of a multilingual colleague, we…
A 30 year old man presented intoxicated to A&E. He didn’t speak much English, and was triaged as ‘abdominal pain and vomiting’. With the help of a multilingual colleague, we…
A 21 year old woman presented with vomiting and right flank pain. The pain started at 9am that morning, and had waves of 10/10 severity on a background of 8/10…
There I was reading “Accident and Emergency Radiology” by Harvey and finding out how to interpret a cervical spine xrays when I discovered that the NICE guidelines on CT Imaging…
“Anyone can moonwalk. It’s making it smooth that matters” Michael Jackson never once said. It’s all about smoothness when trying to decide between the dance like “there’s a snake trapped…
Triage notes: 61 yo man, reducing GCS. PMH myelofibrosis Reduced GCS? Uh oh. What could be going on in that tortured skull? Is the first thing I would normally think…
As an FY1 when I saw syncope I saw my job as taking a nice pre, during and post history of the event and working out what the most likely…
Switch the sound off and watch the clip above. Is this a true positive Babinksi, or simply a withdrawal response? How did you tell? And could you explain it to…
Last Thursday, the cardiology consultant argued that dividing heart failure symptoms into left sided and right sided did not make sense. After all, if the left pump is failing, there…
Spinal cord compression Thanks to firm 3 for the enthusiasm at today’s bedside teaching. We saw a gentleman in his 90s who presented with difficulty walking for the past 3…
In some ways, our job consists of making the colourful spectrum of real life medicine fit the black and white confines of the hospital protocol or the textbook definitions. Though…