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Update International Meetings 2013-2014 November 15, 2012

Posted by erpalm in Emergency Department, Medical, Meeting.
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Finally I have updated my page on International Meetings on 2013-2014.


Emergency ultrasound symposium in HK July 28, 2009

Posted by erpalm in Emergency Department, Medical, Meeting, Ultrasound.
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Finally I had attended the 2nd HK Emergency Ultrasound Symposium. I had meet a lot of speakers and attendents from several Asian countries. Hopefully we will meet again in WINFOCUS 2009/9/4-6 in Syndey, Australia.

I got a cold. January 29, 2009

Posted by erpalm in Blog, Medical.
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May be it is due to over-exhausted during the last 5 days of on duty , I got a cold on the second day in HK. Only running nose and sneezing but no cough, no fever. I had taken some oral pills and slept for 1 night but stil persisted. May me I need a bedrest.

Ultrasound is operator-dependent June 13, 2008

Posted by erpalm in Cases teaching, Emergency Department, Medical.
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Today a 55 y/o diabetic male came to our ED due to 40C and diffuse abd pain. He had poor control of NIDDM and alcoholic . PE showed epigastric pain and bilateral flank knocking pain. Initially I suspected acute pancreatitis and done the emergency ultrasound. ED echo showed only GB stone but no GB wall thickening, some linear stranding noted between spleen and left kidney and I suspected to be fluid in left anterior pararenal space originate from tail of  pancreatitis. Some hypoechoic density in left subcostal area and I thought to be stomach and neglect it appearance. But lab data showed amylase normal , then pancreatitis should be excluded. Abd CT scan was arranged and found a liver abscess originated from left lobe liver (this is the first time I never notice, rare!) Then I remember the image I had scanned – hypoechoic in left upper quadrant : it is not stomach, it is liver abscess– what I missed interpretation.  I think ultrasound can showed good image but what you can interpretate or not is personal dependent , i.e. by clinical experience. What I had been scanned liver abscess is mostly right lobe and rarely left lobe. This case should be added to my personal ultrasound database as a reference.

All about Medical Informatics. November 2, 2005

Posted by erpalm in Medical.
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Biomedical Informatics is an emerging discipline that has been defined as the study, invention, and implementation of structures and algorithms to improve communication, understanding and management of medical information. The end objective of biomedical informatics is the coalescing of data, knowledge, and the tools necessary to apply that data and knowledge in the decision-making process, at the time and place that a decision needs to be made. The focus on the structures and algorithms necessary to manipulate the information separates Biomedical Informatics from other medical disciplines where information content is the focus.

AMIA(American Medical Informatics Association)
IMIA(International Medical Informatics Association)
EFMI(European Federeation of Medical Informatics)

Facial palsy September 21, 2005

Posted by erpalm in Bookmarks, Emergency Department, Medical.
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Today I come across a DM patient with facial palsy. Although a benign case which will spontaneously recovery on it’s own but patient will concern much due to weakness over one side with ipsilaterl eyelid cannot blind.
I search the google and found a lot of informations on the web:
Bell palsy information center
Acute idiopathic facial palsy by neuroland
Facial paralysis by Baylor College of Medicine
Facial palsy by BUPA
Facial palsy by ENT net
Bell’s palsy Fact Sheet by National Institute of Neurological Disorders and Stroke
Topography of the facial nerve

Brain herniation and Brain lesion locator April 12, 2005

Posted by erpalm in Emergency Department, Medical.
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Recently I came across a website that well explaination about brain herniation. It is good and fully diaphragmatic with figures.
Check it out here.
See also brain tumor diagnosis by location and brain lesion locator.

Good online link on ultrasound and pathology February 21, 2005

Posted by erpalm in Bookmarks, Medical.
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Recently I come across some good internet links on ultrasound and pathology and want to share with ED colleagues:

Sonoworld– the global source for ultrasound with online textbook and multiple ultrasound images.

WebPath– The Internet Pathology Laboratory for Medical Education.