thebluntdissection

pulling apart cases from the ED...

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another bubble of trouble…

January 3, 2017 By Christopher Partyka Leave a Comment

the case.

43 year old female is brought into your resuscitation bay by the paramedics.  She has a 2 day history of vomiting and diarrhoea on the background of type 2 diabetes and alcohol abuse.  Her son is concerned that she has become increasingly confused despite drinking her usual amount of alcohol.

[Read more…]

Filed Under: #FOAM, Acid-Base, Critical care, Infectious Disease, Interesting, Metabolic, Surgery Tagged With: emphysematous pyelonephritis, gas forming organisms, HAGMA, lactate, pyelonephritis

bubble of trouble…

December 11, 2016 By Christopher Partyka Leave a Comment

the case.

76 year old male presents to your Emergency Department via ambulance with right hip pain and a fever of 38.1*C.

[Read more…]

Filed Under: #FOAM, Critical care, Infectious Disease, Surgery, Ultrasound Tagged With: nec fasc, necrotising fasciitis, necrotising soft tissue infection, sacral osteomyelitis, subcutaneous emphysema, ultrasound

knee without improvement…

May 15, 2014 By Christopher Partyka Leave a Comment

the case.

a 64 year old type-II diabetic presents to ED at 3am with ongoing severe knee pain & fevers.

[Read more…]

Filed Under: #FOAM, Infectious Disease, Orthopaedics, Radiology Tagged With: knee pain, osteomyelitis, periosteal reaction, sequestrum

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

hot & spotty #2…

October 14, 2013 By Christopher Partyka Leave a Comment

the case.

A 14 year old boy is bought to ED with a 4 day history of fevers. His parents are concerned as this rampant red rash has rapidly spread across his body overnight…. [Read more…]

Filed Under: Dermatology, Infectious Disease, Paediatrics Tagged With: conjunctivits, coryza, cough, koplik spots, measles, morbilliform rash, paramyxovirus, vaccine

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

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