Gut under pressure

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A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off… Can you save the day in this gastrointestinal gutwrencher?

Snookered

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A case-based Q&A on the assessment and management of patients presenting with suspected rectal foreign bodies.

The BurnDoc’s ICU Rounds

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The LITFL team recently added the ICU Rounds podcast to our easy-to-search database of free online podcasts. This podcast has been running for a couple of years now, and is produced by the exceptionally prolific Jeffrey Guy. Dr Guy has specialty training in burn surgery, trauma surgery, and critical care and is an Associate Professor [...]

EBM Upper GI Haemorrhage

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Upper GI Haemorrhage EBM Review. Commonest causes: peptic ulcer (35-50%); oesophagitis (20-30%); duodenitis/gastritis/erosions (10-20%); varices (5-12%); Mallory-Weiss tear (2-5%); tumour (2-5%); angiodysplasia (2-3%); aorto-enteric fistula (<1%).

A Ward Round with the Professor of Surgery

The guiding light of Modern Surgery was Theodor Billroth in Vienna, he passed the torch on to Halsted at John Hopkins...

The Professor of Surgery leads his Professorial train on a ward round the night before surgery.
“Look, Mr. Arbuckle. I’m the Professor. You’re no good the way you are. So tomorrow, I’m going to fix you. There are some risks, but you don’t need to worry about them. OK? See you tomorrow.”

Splat! A vomiting infant

Rankin's pyloric stenosis

An infant is brought in by his concerned parents. Splat! Vomiting is the presenting complaint. Can you work out what’s going on and help this sick baby?

Gut ache or Gordian knot?

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A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed?

Society for the Prevention of Surgery

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UCEM investigators have unearthed a shadowy organization known as the Society for the Prevention of Surgery. Prof Staghorn shows how to identify its members.

Faecaloma with cathartic bowel

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A long-term inpatient from a Psychiatric hospital presents to the Emergency Department with gradual onset of abdominal swelling over four weeks and acute generalised abdominal pain over the last 24 hours.

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.