Syncope query cause? Risk stratification is the aim of the game
As an FY1 when I saw syncope I saw my job as taking a nice pre, during and post history of the event and working out what the most likely…
As an FY1 when I saw syncope I saw my job as taking a nice pre, during and post history of the event and working out what the most likely…
Switch the sound off and watch the clip above. Is this a true positive Babinksi, or simply a withdrawal response? How did you tell? And could you explain it to…
Last Thursday, the cardiology consultant argued that dividing heart failure symptoms into left sided and right sided did not make sense. After all, if the left pump is failing, there…
Spinal cord compression Thanks to firm 3 for the enthusiasm at today’s bedside teaching. We saw a gentleman in his 90s who presented with difficulty walking for the past 3…
In some ways, our job consists of making the colourful spectrum of real life medicine fit the black and white confines of the hospital protocol or the textbook definitions. Though…
A 34 year old woman complains of feeling depressed for the past month. She is not complaining of any other symptoms and has no medical or drug history. On examination,…
What is a good score on the MRCP Part 1? The MRCP people now give your score as a scaled number from 0 to 999, where 521 is the pass…
Early warning scores are in use throughout NHS hospitals to spot patients who are deteriorating. So where did they come from, and what are their limitations? At Barts in 1997,…
I guess the ideal doctor would have experienced first hand every condition that can affect a human. He or she would then be able to pattern recognise what the patient…
A man with vascular dementia was admitted following a suicide attempt. The Crisis consultant felt it was high risk, and recommended him to be admitted. There’s “oh, dementia” and “oh…dementia”….