My chest is burning!

Man with burning chest pain

The Minerva section of the British Medical Journal was probably the only part of any medical journal I used to look at when I was a medical student. It has taken me sometime to find it, but the following chest radiograph of a West Indian man with severe burning chest pain must be seen to be believed.

Hyperammonaemia

You’ve just been handed over a patient who has an altered mental status when the phone rings. It’s the lab – you’re told that your patient has a serum ammonia level of 250 umol/L (reference range, 11-35 umol/L).

Retrieval 101

A footballer has sustained an injury. The game can’t restart until the injured player has left the pitch. There is a perfectly good stretcher and two fit and healthy stretcher-bearers. The injured man is only two meters from the sideline.

What could go wrong?

Chloral hydrate overdose

A 25 year-old woman with a history of depression was found by her flatmate. An empty 200mL bottle of chloral hydrate was present at the scene. She arrived at your emergency department with the following vital signs…

The Poison Review

If you’re into tox you’ll want to keep an eye on ‘The Poison Review” website edited by Leon Gussow. Welcome to The Poison Review, a critical update and evaluation of recent scientific literature, news stories, and cultural events related to the field of medical toxicology.  Our interests are wide-ranging and eclectic, since we take our [...]

Quiz Paediatrics 010

FACEM VAQ

An 8 year old boy is brought to your emergency department after injuring his right arm in a fall from his bicycle. This is an isolated injury.

The Interesting New Zealander

The following is a reproduction of a letter to the Editor of the British Medical Journal published in 1980 (in the Stubbies era): SIR, Minerva (1 December, p 1446) in reviewing the Graduate’s Travel Guide by John Borrie of Otago University says, “Surely there must be at least one interesting person in New Zealand.” There [...]

TB Learning Zone

mtbpi2

I have just registered and completed a fantastic educational initiative on Tuberculosis (TB) – TB Learning Zone – produced by Oxford Immunotec. Registration is free and it takes about 90 minutes to complete the training in the Learning Zone.

Crazy Bug Hunters 001

I rather think I am on the track of  the real germ, but nothing must be said as yet, not same a hint I have not mentioned it to a soul.

Dr Jesse William Lazear (1866 – 1900) In 1900 Dr Jesse William Lazear joined the Yellow Fever Commission team in Cuba under Walter Reed. He was employed to conduct studies into the bacteriology of tropical diseases. Following up on Ronald Ross’s recent discovery of the role of mosquitoes in the transmission of malaria, and the theory [...]

Role of the Consultant

A simple question – what is the chief function of the consultant?