September 2, 2010

Morning after cheese

Camembert-de-Normandie1

Emergency contraception has always been a difficult issue to achieve a consensus on, but family planning strategies are integral to a sustainable future human population. The opinions of certain societal elements have often resulted in the practices which constitute family planning being less than legal in some areas of the world. In particular abortion and emergency contraception have been unduly targeted, until now.

Extraordinary Cries

vocal cords

A 13 year-old boy with a history of allergic rhinitis is sent in to the emergency department by his family doctor. Three days previously he was exposed to smoke from a bushfire and has been having difficult breathing since. He has been having sudden exacerbations where his chest and throat feels tight and he feels as though he can’t get any air in. There has been no improvement despite treatment with prednisolone and ventolin over the past 2 days.
Can you diagnose and manage this case?

Dr Finnbarr Walsh In Memoriam

Finnbarr21

Finnbarr was a wonderful man, a faithful friend and an amazing doctor. It is humbling to see how many lives he touched. Kind, compassionate and generous beyond compare, Finn truly was a gentleman and a scholar. Rest in Peace dear Finn, free from the troubles of this mortal coil….you will be sadly missed.

Pain free and in VT?

ECG

“Can you take a look at the patient in bed 2? I think he’s having runs of VT!” You are called to the monitored area in ED to see a 62-year man who is awaiting a bed under the medics for investigation of an episode of chest pain earlier in the day. He is currently pain free, sat up in bed looking undistressed with a blood pressure of 150/90. The monitor shows intermittent runs of a broad complex rhythm. Can you interpret his ECG?

Blunt Trauma to the Eye

Eye

Your Emergency Department Director decided that a team-building exercise at the local boxing gym would be a good idea. You are left to hold the fort at work. An hour later the Director is en route to the ED – it seems that someone has given him a good whack in the eye… Hopefully you know your stuff when it comes to blunt trauma to the eye.

Crime Scene Echocardiography

sono2

In this special episode of ‘Crime Scene Echocardiography: Vienna’, the 123sonography team show how echocardiography can be used for good as they put their skills to the test and try to solve a mysterious case of dyspnea in a 39 year-old man.

Half an 8 ball

Hyphaema

A 26 year-old man sustained an injury of uncertain mechanism to his left eye while at the bottom of a ruck during a game of rugby. Fortunately, his team went on to win the game of rugby 24-16. However he still has a problem. Can you sort it out for him?

Out of Sight

Eiffel tower

We’re coming to the end of an absolutely eyeful Ophthalmology August here at LitFL. Over the month we’ve considered many different causes of loss of vision. Today’s Q&A’s will bring together all the different ways the ‘lights can go out’. Are you ready for the ‘loss of vision challenge’?

Utopian Waiting Room

Utopian Waiting Room 2010 copy

With increasing ED crowding and ever increasing waiting the Utopian College has produced guidelines to improve patient comfort and safety and to begin diagnosis and treatment for those stable and well enough to enjoy time within the waiting room – Waiting Room Medicine.

Funtabulously Frivolous Friday Five 028

Eating graph

Medical trivia to maximise your learning potential prior to the weekend…including Hexenmilch, St Zacharys, graphs galore, dixon of dock green, bee venom, anthrax, goat-skin and the top ten saintly diseases,

A Woman of Singular Vision

central retinal vein occluson

A 56 year-old female presents with sudden onset loss of vision in her right eye. She has a past medical history of hypertension, hyperlipidema and medication-controlled diabetes mellitus type 2. Her medications include aspirin, ramipril, atorvastation and metformin. On examination she has 6/60 vision in her right eye. Can you make the diagnosis and help to preserve her eyesight?

A Man of Singular Vision

central rtinal artery occlusion

A 52 year-old man presents with sudden onset loss of vision in his right eye. He has no other symptoms. His past medical history is notable for hypertension, hyperlipidemia and angina. His medications include aspirin, atenolol, and atorvastatin. Can you make the diagnosis and save this man’s vision?

More Befuddling Pupillary Asymmetry

cavernosus sinus

A man presents with a persistent cough… but you notice something wrong with his eyes. What is the ocular finding and what is your approach to determining the cause?

An Electrocardiographic Exigency

ECG_001

A 23 year-old man is brought in by paramedics after an episode of syncope at home. On arrival he is in severe respiratory distress, extremely pale and dripping with sweat. BP is 125/70, HR is 80bpm, RR 40, SaO2 95% on 15L O2 via NRB. Portable CXR in resus is normal.
Can you interpret his ECG?

Six Phases of Study

Study

You are listening to jazz. Your first day of study is great. Your textbooks are amazing – packed with knowledge, facts and insight

He who is not forgotten will not die

Last

When times get tough and external stressors tip the scales of emotional imbalance towards the darkness of unchartered thought…I seek solace in the sagacious mantra and steadfast oration of eloquent preceptors. One such inspirational raconteur, inspiring optimism in the face of adversity was Dr Randy Pausch.

Election bandaid

MG votes 1 Election bandaid

While the MicroGnome exercised his voting right in yesterday’s Federal Infection, Ameritous Professor Broughton D’Lirium watched the unfolding saga with the studied fascination of a seasoned political epidemiologist.

Doctors Unplugged

DoctorsUnplugged

Doctors Unplugged is an inside look at medicine and how it affects the peeps on the street. Humorous and politically incorrect at times but with great reverence for the concept of helping as many people as possible! This is medical podcast for the non-medical public.

Stressed and branching out

HSV dendritic ulcer

A 24 year-old medical student presents to the emergency department with 2 days of superficial left eye pain, mild redness, tearing and mild photophobia. She has a history of cold sores and has been stressed out by exams recently. The slit lamp reveals a distinctive corneal lesion…

Funtabulously Frivolous Friday Five 027

Life Simpler as a Man 003

Yay…it’s Friday.
Time to challenge that cerebral cortex and put on those ‘mental’ dancing shoes as we trip the light fantastic of medical trivia, and lift the latch on the cage of the tiger of tease…the Funtabulously, Frivolous Friday Five…