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Archive for November 2012

Head injury and blood thinners-When to Scan

Head injury in the anticoagulated patient can be a challenge. Below is the approach I use. I then read a 2012 paper from the Annals of Emergency Medicine, which gives us the evidence on what our approach might be. Here’s the scenario. A 56 yo male is brought to the emergency department following a mechanical…

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The Elbow Extension Test: avoiding the X-ray

WHICH TRAUMATIC ELBOW INJURIES SHOULD WE BE REFERRING FOR XRAY? I spend a considerable amount of my time working in remote environments where diagnostic resources are limited. This has led me to look for clinical decision aids to assist in the diagnoses of injury or illness without sending my patients for (often very distant) diagnostic…

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