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Archive for December 2010

Scombroid poisoning

 A 32 year old woman presents with a severe, sudden onset of throbbing headache, facial flushing and a rash across the upper chest and back. She has also had one episode of loose bowel motion. When seen she is anxious and tachycardic. She has no past medical history. 30 minutes prior to her symptoms she…

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I see double – diplopia of what cause?

A 63 year old woman presents to the Emergency Department with the complaint of diplopia. She is keeping her right eye closed.She awoke this morning and was seeing double. Her health is otherwise normal and her only past history is of a melanoma excised many years ago. Her Neurological examination in general is normal. Her eye…

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