Shades of Purpleness

Purple Urine

Unusual Urine 005 A 76-year-old male nursing home resident with dementia and end-stage renal disease who was undergoing hemodialysis was admitted to the hospital after a syncopal episode that occurred during dialysis. When a urinary catheter was placed, purple urine was drained. The urinalysis showed a pH of 9.0 and bacteriuria but no hematuria or [...]

Lost Under the Skin?

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Are you bewildered by anatomy? Do you keep getting lost in the maze of nerves, muscles, tendons, vessels, bones and ligaments? Never fear, help is at hand in the form of Sam Loman’s human body ‘subway’ map. Never get lost again.

Intra-aortic Balloon Pump Trouble-shooting

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Your ICU patient with the intra-aortic balloon pump (IABP) from Cardiovascular Curveball #005 is having a very bad night. His IABP keeps playing up. You are beginning to wonder if there a gremlin in the unit…

Awake Fibreoptic Intubation

A smoothly performed awake fibreoptic intubation is almost magical to watch. But not only is it an elegant procedure when performed correctly, it can also prevent people (patients and doctors) from getting into a whole lot of trouble…

Here Dr. Michael Bailin from Massachusetts General Hospital shows just how easy, and entertaining, it can be.

Pacemaker Panic

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You grab the chart of the next patient to be seen, the triage note states that he has a permanent pacemaker in situ… Can you answer the questions to take care of this patient?

DeBakey’s Dissection

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A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. A chest X-ray and ECG are performed and reveal no abnormalities

Imagery in Medicine

Imagery

Information can be conveyed via many different methods and the brain has a great ability to store this information in a meaningful context. While words have been doing a great job at exchanging information sometimes a simple picture can say a thousand words.

Emergency Muscial Interlude XX

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March is Colorectal Cancer Awareness Month and with the experiential lyrics of Peter Yarrow (of Peter, Paul and Mary fame) to lead us, we take a musical stroll through the annals of colorectal musical history…

Lessons from Osler 002

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William Osler teaches us that a sense of humor and fun helps doctors fight off stress, connect with others, and stops them from taking themselves too seriously.

Academic Strife in Waiting Room Medicine

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The success of Michelle Lin’s ‘Academic Life in Emergency Medicine’ has led to UCEM’s latest initiative: a new blog, “Academic Strife in Waiting Room Medicine”.