UCEM Guidelines for Constipation

Th Intern being supervised by his Registrar and Consultant

Ucem are proud to announce a new technique for the management of constipation in the emergency department. We like to call it ‘hemicorporeal evacuation’.

Serotonin toxicity

A 23 year-old male is brought to your ED by a friend. He appears anxious, distressed and confused. His friend volunteers that the patient had seen a GP in the past few weeks as he was feeling depressed.

Emergency Musical Interlude XVII

morphione

The Emergency Musical Interlude Series ground to a halt late last year due to the lack of high quality medically related music videos in production on the web. I feel your disappointment. But fear no more, take a deep breath sit back and relax, safe in the knowledge that we are still capable of finding some of the most obscure and disturbing medical music on the interweb…

Toxic Seizures

A 22 year old female is BIBA in status epileticus. She is believed to have overdosed on her discharge medications following a month long stay as an inpatient on the psychiatric ward.

A Fondness of Fruit

Phallic Fruit

Most of us, at one time or another, have gazed into the stratosphere and imagined clouds as familiar objects such as an animal, a face, an activity or letter of the alphabet. Such nephelococcygial activity has never resulted in my conversing with cirrus formations, no matter how alluring the Wolkenkuckucksheim may appear…

Downstairs Patients, Upstairs!

Professor Stickler takes Dr. Scott Weingart’s approach an ingenious step further: “Clearly the transition of care should not be a one way street. ‘Upstairs care, Downstairs’ is a moderately impressive concept, but it pales in comparison to my revolutionary ‘Dowstairs Patients, Upstairs!” paradigm.”

Oncology Quandary 004

image_1

A 45 year old woman with metastatic ovarian cancer is admitted for VATS pleurodesis and drainage of bilateral pleural effusions. Her admission chest X-ray is shown below:

UCEM to Save the NHS

Even Che is surprised!

Egerton Y. Davis IV, Head of UCEM’s Demographically Impartial Public & Social Health Improvement Taskforce, made an important announcement today. Davis said that his team have been allocated the task of saving Britain’s National Health Service.

Pyroglutamic acidosis

GGcycle

You are asked to review a 73 year old lady who is in hospital for treatment of septic arthritis affecting a prosthetic right hip joint inserted 5 years earlier. The joint has been washed out and debrided twice, and she is receiving IV flucloxacillin and meropenem following culture of a methicillin-sensitive Staphylococcus aureus. She is on regular paracetamol for pain. Unfortunately, she has continued to deteriorate…

Lessons from our past

cadogan_001

Cadogan had suffered from gout for many years, and the book is based upon his personal observations. He believed that gout was not hereditary, seasonal, or curable, but was due to over eating, indolence, vexation, and intemperance.