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Author Archives: Andy Neill

The mechanics of reasoning

16 Mar

Dhaliwal G. A piece of my mind. The mechanics of reasoning. JAMA. 2011 Sep. 7;306(9):918–919. PMID 21900128 Peterson MC, Holbrook JH, Hales Von D, Smith NL, Staker LV. Contributions of the history, physical examination, and laboratory investigation in making medical diagnoses. … Read More »

decision making, thinking about medicine Leave a comment

Some updates on IST-3

14 Mar

If you’ve read the sprawling behemoth that is my critique of (now not so) recent stroke literature you’ll notice that it ends with a spiel on IST-3 – the big 3000 pt RCT that hopes to settle the question of … Read More »

stroke thrombolysis IST3, stroke lysis, tPA 1 Comment

Anatomy for Emergency Medicine 009: Brain Herniation

13 Mar

This is a quick run through of the 3 main brain herniation syndromes. Enjoy   [Direct Download] Here’s a lovely case from radiopaedia.org, of SDH with subfalcine and uncal herniation and even an infarct in the anterior cerebral territory. iTunes … Read More »

Anatomy in EM, lecture AFEM, anatomy, brain herniation, CT, head injury 10 Comments

Is clinical examination dead? Well of course not dummy

13 Mar

Last week I had a little post on “Is clinical examination dead” prompted by one of the local radiologists. It attracted some smart comments from some smart people. To make my position clear, I do not think clinical examination is … Read More »

thinking about medicine clinical examination 3 Comments

Nerdy Gear Post

11 Mar

I’m a big fan of lifehacker and was strangely intrigues by their recent series on stuff the writers use and how they work. So I’m going to try a similar one but from a medical web 2.0 point of view. … Read More »

geekery computers, geeky 7 Comments

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