Archives: Clinical Presentations

Bradycardia

Overview Differential diagnosis causing bradycardia Remember Life threatening causes of bradycardia include: hypotension, raised intracranial pressure and MI. History Examination Acute Management Pharmacology Atropine Investigations
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Abdominal Trauma

Overview  Abdominal trauma can result in injuries that are intraperitoneal and retroperitoneal Abdominal trauma is divided into blunt and penetrating mechanisms. Blunt abdominal trauma involves a crushing force that causes…
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Chest Trauma

Overview  Thoracic trauma causes injuries to the chest wall, lungs, great vessels, and heart. It is clinically divided into blunt and penetrating injuries. PAMD Preparation Assessment – Primary Survey –…
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Spine and Spinal Cord Trauma

Overview  Devastatingly disabling injury. Can be missed as ambulant patients may have an  unstable vertebral injury. Up to 10% of unconscious patients have a significant vertebral injury. Most common cause of spinal injuries include MVA, Falls and pedestrian on roads. Ask yourself: Neurogenic Shock Triad Hypotension, bradycardia, peripheral dilation. Autonomic Dysreflexia PAMD…
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Head and Brain Trauma

Overview PAMD Preparation  Assessment – Primary Survey – ABCDE Remember If the patient is able to communicate verbally, the airway is usually patent. Side note Ventilation may be reduced for…
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Jaundice

Overview  Jaundice or icterus is the yellowish discoloration of the skin and sclerae from increased levels of bilirubin, a bile pigment derived chiefly from the breakdown of hemoglobin. Mechanism of…
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Petechial, Purpuric Rash

Overview  At least 90% of children with fever and petechiae will NOT have meningococcal disease. However, recognition and early treatment of the child with meningococcal disease is paramount. All children with…
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