James Syme

James Syme (1799–1870) 340

James Syme (1799–1870) was a Scottish General Surgeon. The Syme ankle amputation attributed to him was a triumph of conservative surgery in the days where more proximal amputations had much higher mortality rates.

ICE 015: Progressive rash and fever

ICE -Ian’s clinical emergencies 340

A 22 year old woman with a past history of a seizure disorder presents to the ED with a 3 day history of progressive rash and fever. The rash began as macules and papules on the chest and neck and has now become blistered and eroded and involves the mouth and eyes. Her temperature is 39°C and she feels miserable