Archive for February 2014
The Crashing Atrial Fibrillation Patient- Part 2- What inotrope to use?
Let me remind you of the patient we had in part 1 of this blog. The patient had presented in rapid atrial fibrillation at a rate of 170-180. His BP was about 60mmHg systolic. Cardioversion was attempted( x 3) with Metaraminol used to support blood pressure, however it was unsuccessful. An Amiodarone infusion was commenced…
Read MoreBilateral Hemianopia in Pregnancy
Here’s the Case A 31 year old female patient at term P2G1, had noticed tunnel vision whilst watching her children in the garden. Soon after this she developed a bi-temporal headache. No other symptoms were present. The only past medical history was of a hearing impairment and hypertension early in the pregnancy. The clinical examination…
Read MoreThe Many Faces of Tuberculosis
As many of you who regularly read this blog will know, I have a bit of a thing for TB. I hate it. It offends me. I am frustrated that a disease that was thought to be on its way to eradication a generation ago has fought back and we may soon find…
Read MoreBack-stabbing: A case of Brown-Sequard Syndrome
Introduction Brown-Sequard syndrome is one of those cases that we are all aware of, have studied for exams and have pondered the anatomy of, but few have ever seen. First noted by Charles-Édouard Brown-Séquard in 1851 who, despite having some rather eccentric ideas about sexual prowess and the eating of primate testes, was a renowned…
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