thebluntdissection

pulling apart cases from the ED...

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a perplexing paradox…

June 21, 2016 By Christopher Partyka Leave a Comment

The case.

a 70 year old female is bought to your ED at 10pm via ambulance with a dense right-sided hemiparesis following a witnessed collapse at home only 30 minutes earlier. [Read more…]

Filed Under: #FOAM, Interesting, Neurology, Radiology, Respiratory Tagged With: ischaemic stroke, massive PE, massive pulmonary embolism, MCA stroke, paradoxical embolism, patent foramen ovale, PFO, pulmonary embolism, thrombolysis

a splitting headache…

March 23, 2015 By Christopher Partyka Leave a Comment

the case.

39 year old female presents to your Emergency Department with a four day history of a gradually worsening headache. Whilst she has a past history of migraines, this headache is much more severe and of different character to any migraine she has had previously. [Read more…]

Filed Under: #FOAM, Interesting, Neurology, Radiology Tagged With: anticoagulation, cerebral venous thrombosis, CT venogram, CVT, delta sign, dural sinus thrombosis, empty delta sign, headache, sagittal sinus thrombosis, secondary headache, stroke unit, thrombolysis

against better judgement…

August 27, 2014 By Christopher Partyka Leave a Comment

the case.

a 62 year old female is bought into your ED following a high-speed MVA. She has driven her car into telegraph pole at ~ 80km/hr. [Read more…]

Filed Under: Radiology, Trauma Tagged With: aortic dissection, blunt aortic injury, deceleration injury, mediastinal widening, traumatic aortic dissection

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

eye for an eye…

April 24, 2014 By Christopher Partyka Leave a Comment

the case.

an elderly female arrives to your ED with facial swelling and extensive bruising after a fall where she struck the left-side of her face on a concrete step. She is on warfarin for atrial fibrillation, but has not had her INR tested for the past 3 weeks. [Read more…]

Filed Under: Ophthalmology, Radiology, Surgery, Trauma Tagged With: cantholysis, lateral canthotomy, orbital compartment syndrome

two in two days…

April 8, 2014 By Christopher Partyka Leave a Comment

I have recently prepared a lecture on a current, yet still controversial topic for work following exposure to these two interesting cases. Here are the cases & their discussion as well as the slide-show attached… 

[Read more…]

Filed Under: #FOAM, ECHO, Evidence, Interesting, Radiology, Respiratory, Ultrasound Tagged With: alteplase, MAPPET-3, massive PE, MOPETT, PE, PEITHO, pulmonary embolism, submassive PE, thrombolysis, thrombolytics

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