Urgent Bite 182 – High Pressure Injection Injuries
High-pressure injection injuries might look innocuous on the surface, but they need an immediate surgical referral.
Urgent Bite 181 – Thinking about Bell’s Palsy
Bell’s palsy can be diagnosed clinically, but it is important to exclude other differentials.
Urgent Bite 180 – Kanavel’s Sign
Always look for Kanavel’s sign and refer if present.
Urgent Bite 179 – Looking at the Tongue
Why should we look at the tongue in urgent care? And why does it sometimes stick out when we are thinking?
Urgent Bite 178 – Tibial Stress Fracture
A tibial stress fracture in a golfer. Unusual, given that they are often associated with runners, but it does highlight how listening to your patient when they say something is wrong is important.
Urgent Bite 177 – Talking corneal foreign body removal with Dr David Sorrell
Today we chat with Dr David Sorrell about how he bends the needle to aid corneal foreign body removal.
Urgent Bite 176 – Latissimus Dorsi Tears
A Latissimus Dorsi tear is a rare sporting injury but one we should be aware of in urgent care.
Urgent Bite 175 – Thinking about AI
Will we need urgent care clinicians in an AI health system?
Croup: are patients safe to discharge following nebulised adrenaline? Is ‘rebound phenomenon’ a myth?
Author: Dr Gareth Norton
Date: August 2022
Abstract:
Croup, or laryngotracheobronchitis, is an extremely common presentation of respiratory
disease in the paediatric population. The mainstay of treatment is oral corticosteroids and in moderate/severe cases nebulised adrenaline. Concerns exist around the possibility of a rebound effect where their are increased symptoms when the effect of a drug has passed. If a drug produces a rebound effect, the condition it was used to treat may return with an
increased severity. Or is there no rebound effect and the return of symptoms, even at an
increased severity is due to the natural course and progression of the treated condition?
Urgent Bite 174 – Cullen’s Sign
Cullen’s sign is an important eponym to recognise in urgent care.