Vascular – Mind The Bleep

Acute Mesenteric Ischaemia

Introduction Ischaemic bowel disease can be divided into acute mesenteric ischaemia, chronic mesenteric ischaemia, and colonic ischaemia. This article will predominantly focus on acute mesenteric ischaemia. Acute mesenteric ischaemia is a surgical emergency. It is characterised by a sudden lack of blood supply or perfusion to the intestines, leading to acute ischaemia and subsequently necrosis, eventually resulting in perforation. There are several important causes,

November 10, 2025 No Comments

A Comprehensive Guide to Surgical Clerking

This guide is designed to help you identify the key areas you need to focus on when clerking a surgical patient. There are several differences when compared to clerking a medical patient, namely getting a more extensive surgical past medical history, examination and assessing frailty. Your clerking needs to be succint, pertinent and clear. Presenting

March 9, 2025 No Comments

Understanding the MSRA

The Multiple Specialty Recruitment Assessment (MSRA) is a computer-based exam increasingly being used by many different specialties as part of core training applications. For all specialties, the MSRA score will contribute to or be the sole consideration for shortlisting candidates for limited interview slots for each specialty. Subsequently, the MSRA score will also (often) contribute

December 11, 2022 10 Comments

Superior Vena Cava Syndrome

SVC syndrome is an oncological emergency. There is obstruction of the superior vena cava resulting in stagnating blood and a high risk of thrombosis. Due to this obstruction, collaterals develop to drain the head, neck & upper extremities which dilate over several weeks. Cardiac output is usually not severely diminished as the quick rise in

October 8, 2021 No Comments

Pulmonary embolism

A pulmonary embolism (PE) is a blocked blood vessel in your lungs, most often due to a blood clot. It is common and can be asymptomatic but can be life-threatening if the clot is large and near the centre of the lung. With a massive PE immediate management is necessary. Causes A common cause of

October 4, 2021 No Comments

Deep Vein Thrombosis

A deep vein thrombosis (DVT) is a condition in which a blood clot (thrombosis) forms within a deep vein and can be provoked or unprovoked [1]. 2.5-5% of the population will have a DVT in their lifetime [2]. Virchow’s triad explains the relationship between venous stasis, hypercoagulability and endothelial vessel wall in increasing the risk

August 28, 2020 No Comments

Diabetic Foot Ulcers

Introduction: Diabetic foot ulcerations are a significant complication of diabetes and often precede minor (below the ankle) or major (above or below the knee) amputation. At least 2% of people with diabetes experience new foot ulcers annually, and of these, one in 400 undergoes amputation (Kerr, M. 2019)

July 30, 2020 No Comments

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Category: Vascular

Acute Mesenteric Ischaemia

A Comprehensive Guide to Surgical Clerking

Understanding the MSRA

Superior Vena Cava Syndrome

Pulmonary embolism

Deep Vein Thrombosis

Diabetic Foot Ulcers

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