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Palpitations
Palpitations
Palpitations can be described as the sensation of an abnormally received heartbeat. It can be rapid, irregular, forceful or just an unusual awareness. Palpitations are a common presentation...
Documentation
Documentation
Medical documentation should authentically represent every consultation and is primarily intended to support patient care. Good record-keeping means you or a colleague can reconstruct...
Morbidity & Mortality Meetings
Morbidity & Mortality Meetings
M&M meetings discuss the outcomes of patients and mortality rates, with the view to improving clinical care, quality control and professional education. Their purpose is to learn...
Pneumonia
Pneumonia
In this article, we will focus on more practical concerns when managing a patient with pneumonia for junior doctors. Covid-19 is not discussed here. HistoryBasics: fever,...
Handover
Handover
Handover occurs between shifts to ensure everyone is up to speed with patients. The exact nature of how it occurs varies greatly by hospital & specialty. E.g. in paediatrics or...
Pneumothorax
Pneumothorax
A pneumothorax is defined as the abnormal collection of air between the visceral and parietal space of the lung i.e. the pleural space. It typically presents with acute shortness of...

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Marbling MTB
Management of the Aggressive Patient
At times as a junior doctor, you will be faced with the management of patients displaying aggression. There are many causes for aggressive behaviour, from pain to frustration at delays...
Hyperkalaemia
Hyperkalaemia
Hyperkalaemia can cause life-threatening emergencies particularly cardiac arrhythmias. A widely used definition is extracellular [K+] ion concentration ≥ 5.5 mmol/L.Complications...
Work-Life Balance
Work-Life Balance
Work-life balance is a topic that has become increasingly prevalent over the past decade with positive changes being made to the junior doctor contract and several initiatives being...
Gallstone
Gallstone Disease
Patients regularly present under the acute take with gallstone disease. The aim of this article is to supplement the surgical webinar series session on gallstone disease that can be...
Communicating with Relatives
Communicating with Relatives
We commonly find ourselves needing to communicate with the next of kin & relatives.In this article, we cover the general aspects of this. Please note there are specific articles...
Heart Failure
Heart Failure
Heart Failure is not a diagnosis in itself, rather a collection of symptoms that require investigation to find the underlying cause.Heart failure syndrome is the term used to describe...
Transfusion
Transfusion
In this article, we will go through the three most common scenarios you will encounter. These are: (1) Does this patient need a transfusion? (2) Can you group & save or transfuse...
Pancreatitis
Pancreatitis
Pancreatitis is a condition characterised by the inflammation of the pancreas. These patients are usually managed conservatively. Your aim is to try to find out the underlying cause,...
PR Bleeding
PR Bleeding
The first thing when called is to identify whether the bleeding is truly a lower GI bleed or whether it is an Upper GI Bleed as the management differs. Both can quickly become...
Airway
Difficult Airway Patients
As a doctor, you may come across patients with complex airways. They should be found on dedicated wards such as respiratory, ENT, ITU or HDU – however, bed pressures might lead...
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