Basic Science, Medical and Surgical MCQ

MCQ basic sciences primary examination

Finally, after much ado, the first stage of the multiple choice question (MCQ) database is up and running… There are two dedicated collections of questions. ‘Basic Sciences’ of anatomy, pathology, physiology and pharmacology ‘Clinical Medicine and Surgery‘ In this first stage, the user can choose either 5 randomly generated MCQ from either Basic Sciences or [...]

Thyroxine overdose

A 34 year-old female with a past medical history of Hashimoto’s thyroiditis (currently taking thyroxine 200 mcg daily) who took an overdose of 60 x 200 mcg thyroxine 6 hours ago

Death by caffeine

I’ve recently discovered a web-based resource that is sure to become an indispensable part of every emergency doctor’s toxicological armamentarium. Unless you prefer blissful ignorance, you will want to know the answer to this question: How much of your favorite energy drink, soda, or caffeinated food would it take to kill you? Find out at [...]

Necrotic arachnidism

A 40 year-old man presents to the ‘fast-track’ area of your emergency department. He has a ulcerating sore on his right arm. He says its been getting worse over the past 2 weeks.

What is Brugada Syndrome?

Brugada type 1

Brugada Syndrome is an ECG abnormality with a high incidence of sudden death in patients with structurally normal hearts.

Ethanolic oculotoxicity

The dangers of alcohol

Having trouble convincing your patients to cut back on their alcohol consumption? They laughed at your lecture on ‘PFO and the consequences‘? They roll their eyes when you detail the dangers of the demon drink? Maybe this visual aid will be of some help:

Radiological Oddity #013

Unlucky for her

A 35 year old lady is brought to the emergency department in the company of 3 large men.  Can you tell why they’re with her?

Insulin for verapamil overdose

Today the Medical Journal of Australia published a case report authored by myself and Mark Little titled ‘Early use of high-dose insulin euglycaemic therapy for verapamil toxicity’: A 49-year-old man presented with verapamil toxicity complicated by hypotension and a junctional rhythm, in the context of deliberate self-poisoning with multiple drugs. The patient’s hypotension normalised following [...]

Do you know John Hunter?

John Hunter (1728-1793)

The house officer looked at the film on the light box and thought of the elderly physician resting in bed across the corridor. Despite two previous chest drains, a pneumothorax persisted around the left lung. To make matters worse, one of the holes in the side of the remaining chest tube was in that ‘no [...]

Emergency Musical Interlude XVI

arrhythmia

‘Living Arrhythmias’ [recorded by Dr John C Grammar MD FACC with Bigeminal productions in 1980] has been an enduring educational resource. The original soundless recording is a classic resource which has been set to myriad of modern melodies from Wham and Groove Cutter to Black Box…but this version is my favourite