useful review of the EBM for non operative management of appendicitis In brief , antibiotics are not as effective, less expensive but similar complication rates and LOS to surgery. Long term followup shows about 50% of appendicitis treated with antibiotics ... See more

I remember taking a venepuncture sample from a hale and hearty 70+ yo lady whose serum looked just like your patient. Her trigs were over 20 ( no diabetes , just an extraordinary lipidaemic family history!) ------------------------------ Mike Eaton ... See more

i always figured we are the modern shaman / shawoman / sha<insert preferred gender here> we channel empathy rather than spirituality, although the two are not dissimilar and i often feel i am in an altered state when dealing with services australia ... See more

good reminder this study that in trauma resuscitation with haemorrhagic shock, prioritising circulation over airway probably leads to improved mortality outcome. I know there is not much we can do sometimes in remote settings to manage severe haemorrhage ... See more

Thanks Ashley, HPV while rare, is more common than thought. It is the most common cause for H&N cancer increase in younger nonsmokers. So we actually need to assume we have a lot more of it. Population wise, lots are not vaccinated due to cultural ... See more