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Archive for April 2011

Pulmonary embolism

Pulmonary embolism(PE) is not that common. It appears with a frequency of less than one third that of acute myocardial infarction(AMI). More importantly about 70% or PE’s are diagnosed at autopsy. This is worrying. I wonder how many sub-clinical PE’s people are walking around with and if a significant number, do they matter? Thos patients…

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Aortic dissection

A 70 plus year old non-English speaking gentleman presented to the emergency department with chest pain. He was a happy looking gentleman in no apparent distress, but looked very, very pale. He in fact had a ‘pre-arrest’ look about him regardless of the fact that he is smiling. He was treated with sublingual GTN for…

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ECG in 20 seconds explained

OK here it is! We’ve just finished and amazing Cardiac Course (next year’s course now open) at RPA in Sydney and I must say that everyone thought the idea of being able to pick the most important parts of the ECG and read an ECG in 20 seconds without wasting time looking for things that aren’t important…

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