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neurology/neurosurgery papercut lit review A Clinical Risk Score for Vertigo

The patient with vertigo can be a clinical challenge. Patients may describe their symptoms as vertigo, or the room spinning, or dizziness, or a proble...

Aug 14, 2024  READ MORE
cardiovascular ecg mastery lecture Is this a pacemaker malfunction?

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A patient who presents to the your Emergency Department with a non-cardiac issue has the incidental findings on the ecg shown below. The patient ha...

Aug 13, 2024  READ MORE
members papercut lit review trauma Elderly Patients with low Energy Blunt Trauma: Head CT?

Here’s a patient presentation, I have residents and registrars discuss with me frequently. An elderly patient who had a mechanical fall at home is b...

Aug 12, 2024  READ MORE
cardiology clinical cases podcast members popular Acute Aortic Syndrome

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A 72 yo patient presents with what appears to be a pre syncopal episode at home. This is on a background history of having had a valve repair 3 wee...

Aug 07, 2024  READ MORE
cardiology members papercut lit review D-dimer to rule out Acute Aortic Syndrome

Patients with acute aortic syndrome, may be very difficult to diagnose. Patients who present with textbook ripping severe chest pain and accompanyin...

Aug 07, 2024  READ MORE
cardiology members papercut lit review Is Presyncope as Serious as Syncope?

Syncope has three components: (15 minutes read)

  1. Loss of consciousness
  2. Loss of postural tone and
  3. Return to baseline

Patients with syncope com...

Aug 01, 2024  READ MORE

Selected Articles


Can the ECG help us differentiate PE from ACS?

Sep 28, 2025

Evidence Based Emergency Tracheal Intubation

Sep 23, 2025

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