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pulling apart cases from the ED...

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Quick Case #05

November 2, 2013 By Christopher Partyka Leave a Comment

the case.

a 42 year old male presents via ambulance with chest pain following an motor vehicle accident.
[Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: AMI, chest pain, ECG, first diagonal occlusion, high lateral AMI, high lateral STEMI, lead I and aVL, STEMI

catching the culprit…

October 5, 2013 By Christopher Partyka Leave a Comment

the case.

a 32 year old male presents to ED with a 4 hour history of retrosternal chest pain. He has had the pain since midnight and it “just isn’t going away”.

This is his ECG… [Read more…]

Filed Under: #FOAM, Cardiology, ECG Tagged With: acute myocardial infarction, Cardiology, ECG, Inferior ST elevation, left circumflex lesion, RCA lesion, RCA stent occlusion, RCA thrombosis, right coronary artery stent

hot & spotty…

September 23, 2013 By Christopher Partyka Leave a Comment

the case.

A mother brings her 18 month old child to your emergency department with a 24 hour history of fevers. She is now worried that her daughter has developed these little red spots.

[Read more…]

Filed Under: #FOAM, Dermatology, Infectious Disease, Paediatrics Tagged With: coxsackievirus, enterovirus A16, febrile rash, hand foot and mouth, HFM, paediatric rash, viral exantham

Quick Case #04

September 4, 2013 By Christopher Partyka Leave a Comment

the case.

An 85 year old female is bought to ED with right hip pain. She was found outside after unfortunately spending the night on the ground.

This is her ECG. [Read more…]

Filed Under: #FOAM, ECG Tagged With: ECG, hypothermia, J waves, osborne waves, QRS notching, shivering artefact, sinus bradycardia

no retreat, no reversal…

August 29, 2013 By Christopher Partyka Leave a Comment

the case.

a 79 year old female returns to ED with left sided chest pain & dyspnoea. She was recently admitted following a fall with rib fractures (including a flail segment) and a small haemothorax. [Read more…]

Filed Under: #FOAM, Evidence, Interesting, Surgery, Trauma Tagged With: aPTT, bleeding, dabigatran, dabigatran reversal, direct thrombin inhibitor, Factor VII, FEIBA, haemorrhage, haemothorax, thrombin time

nasty big pointy teeth…

August 15, 2013 By Christopher Partyka Leave a Comment

the case.

A 2 year old infant is bought to your ED with a painful right hand. She claims to be have been bitten by the family dog 2 days earlier… [Read more…]

Filed Under: #FOAM, Interesting, Trauma Tagged With: dog bite, mammalian bite, puncture wound, wound managment

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