[Poll 2] STEMI or not? You make the call.
ECG at admission ECG at 12 hours
Category: Uncategorized
My answer to the poll. And an apology.
Sorry for the delay. Let’s start by going through the simple intervention that brought down the patient’s EWS from the last post, and then in the next post I’ll talk…
[Poll] Really Unwell Patient #1: Rising RR, rising HR, feeling sweaty. And that’s just you.
This patient was treated with one of the above options and made the remarkable recovery you can see from 1522 to 1637. Can you spot what is unusual about…
Your first patient has an INR of 10
“Was the INR really 10?” asked the CT2 as we left the handover meeting. “Yeah. It actually said >10 which means its probably 20.” “Or 100” “Or she’s just a…
Hypoxia kills. Hypercapnia happens.
“Steady on his O2 there. He’s a COPD patient; we don’t want him to stop breathing.” A 73 year old man with COPD not on home oxygen and usually well-controlled…
Dont Dimer
“But the d-dimer is 64,954! It has to be a PE!” To paraphrase the BTS: “Only a normal i.e. negative d-dimer is of any clinical value. A positive value, no matter…
Bloody alcohol
Today, a patient had a macrocytic anaemia, low platelets and an oddly low neutrophil count despite having clear signs and a chest xray suggestive of a lobar pneumonia. To my…
On Call Week: Liverpool Care Pathway, STAT
Apologies for the delay since my last post. It was busy. There were many learning experiences I want to share. Perhaps the most poignant one was writing up the Liverpool…
Probably one of the 10 most unusual ABGs I will ever see
I love MAU so much. I actually wake up looking forward to work. Every request from the radiologist or discussion with microbiology is a learning experience. It’s more like working…
The best PRN laxative, dangerous lipohypertrophy and ‘greening out’
Day 1 of being a real doctor. There weren’t any grand-round worthy cases today in AMU, but there were plenty of things I picked up that passed me by in…