Mildy deranged LFTs in the GP setting
A man in his mid 30s was invited to make a routine appointment to discuss his LFTs. 6 months ago Now Reference range Alanine Transferase 67 132 < 40 IU/L…
Tag: doctor
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…
Rare presentation of a rare condition (which is a common presentation of a common exam condition)
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…
Early warning, late realisation
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,…
Complete run through of the MRCP Part I – Day 2 of 40
Wow. This is a long syllabus. It’s taken me three hours to put this next section together, which leaves me with little time for pretty pictures/mnemonics. Let’s crack page 83….
Why we should never ask if your saddle-region is numb
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…
An n=1 trial into how a patient’s drawings reveal his underlying mood and maybe treat his depression
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”….
Hyperglycemia as a sign of something systemically wrong
The design of the new psychiatry unit was so damn mathematical. Everything was coloured in single hues and with the minimum number of edges possible. It was as if someone…
4 doctors, 4 completely different management plans
An man in his early 80s with a background of Type I diabetes is day 1 post above knee amputation. You are called to see him at 5pm because of…
Medical students can make doctors perform better
Shifted around The twilight shift agrees with my circadian rhythm like no other. The hours are 1600-0000, which is 8 hours just like your regular 9-5. But OMG, it just…