thebluntdissection

pulling apart cases from the ED...

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pupils predict pathology…

March 16, 2014 By Christopher Partyka Leave a Comment

the case.

A 34 year old male is bought to your ED with reduced level of consciousness. He was at a restaurant having dinner with family & friends when he excused himself to use the bathroom. They found him 15 minutes later slumped near the toilet – unconscious and barely breathing. [Read more…]

Filed Under: #FOAM, Neurology, Radiology Tagged With: coma, pin point pupils, pontine, Pontine haemorrhage, primary pontine haemorrhage

the unveiling…

January 13, 2014 By Christopher Partyka Leave a Comment

the case.

a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain. [Read more…]

Filed Under: #FOAM, Gastroenterology, Interesting, Radiology, Surgery

back with a vengeance…

December 27, 2013 By Christopher Partyka Leave a Comment

the case.

a 59 year old male presents to ED at 2am with a two week history of progressive back pain. He is worried because it is worsening in severity and now radiates to the left flank & left-lower quadrant. [Read more…]

Filed Under: #FOAM, Infectious Disease, Interesting, Radiology Tagged With: Aortitis, back pain and fever, mycotic aneurysm, salmonella

Quick Case #06

December 8, 2013 By Christopher Partyka Leave a Comment

the case.

76 year old male presents to ED with 2 hours of retrosternal chest pain. He is clammy, diaphoretic & looks miserable.

[Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: 100% LAD lesion, anterolateral STEMI, clopidogrel, stent thrombosis, thrombectomy

biochemical bugaboo…

December 6, 2013 By Christopher Partyka Leave a Comment

the case.

a 62 year old female presents to ED with breathlessness & chest pain. [Read more…]

Filed Under: #FOAM, Endocrine, Interesting, Metabolic Tagged With: hypercalcaemia, hyperparathyroidism, hypophosphataemia, multiple myeloma, thiazide

shock and awe…

November 18, 2013 By Christopher Partyka Leave a Comment

the case.

Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike.

This is his ECG…. [Read more…]

Filed Under: #FOAM, Cardiology, ECG, ECHO Tagged With: complete heart block, ECG, ECHO, Inferior AMI, Inferior STEMI, Inferior STEMI with RV extension, Right ventricular infarct, third degree AV block

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