Category: Medicine

How to Assess a Chest Drain

Although as an FY1/2 you wouldn’t be expected to insert a chest drain yourself but you will often be called out of hours to review a drain for a variety of reasons: Not swinging/bubbling Not draining Painful “It needs flushed and I don’t do that” Indications for a chest drain: (BTS guidelines) Tension pneumothorax or

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Writing a Letter to the Editor of a Medical Journal 

What is a Letter to the Editor?  A letter to the editor in a medical journal serves as a concise written communication where readers, including healthcare professionals, researchers, and scholars, can express their thoughts, opinions, and concerns regarding a specific article or topic published in the journal. It provides a platform for open dialogue and

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Daily Reviews on the ICU

In the intensive care unit, junior medical staff conduct and present daily reviews of their patients to seniors to guide the planning of care on the ward round.This may well seem daunting given how unwell and complex the patients might be but a thorough, well-structured A-E will give you most of the information you need

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Skin Cancer

Skin cancer is usually categorised as melanoma or nonmelanoma skin cancer, the latter including squamous cell (SCC) and basal cell carcinoma (BCC). Risk factors Basal cell carcinoma Squamous cell carcinoma Malignant melanoma Ultraviolet radiation exposure Ultraviolet radiation exposure Ultraviolet radiation exposure Increasing age Increasing age Increasing age Previous BCC Previous SCC Previous melanoma (8-10 fold

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Referring to the Intensive Care Unit

As a foundation doctor, caring for patients who deteriorate rapidly and/or are critically unwell can be daunting.Intensive care units provide the highest-level care for patients within the hospital. Knowing which patients are appropriate to refer is important for all foundation doctors to understand. Critical care outreach teams (CCOT) provide a link between the wards and

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Malaria

Overview Malaria is a tropical protozoal infection caused by the Plasmodium parasite, and is transmitted via the female Anopheles mosquito in endemic areas. It is the most commonly imported tropical disease in the UK, and is a medical emergency. Epidemiology · Approximately 250 million cases per year and 600,000 deaths per year globally· 1000 –

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Cardiomyopathy

The word cardiomyopathy is used as a general term referring to the abnormal structure or function of the heart.  Strictly speaking, the definition of cardiomyopathy excludes myocardial dysfunction due to coronary artery disease, systemic hypertension and valvular or congenital heart disease. However, you will still hear terms such as ‘ischaemic cardiomyopathy’ commonly used in clinical

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Internal Medical Training (IMT)

IMT is an exciting and challenging training programme which will certainly make you a better clinician but you will need perseverance, dedication and resilience to complete it. In this article, we discuss IMT and hope it will help you decide whether it is the correct programme for you. Overview of IMT IMT is a programme

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