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Infective Endocarditis
Infective Endocarditis
Infective endocarditis (IE) is relatively rare in the UK. However, delays in diagnosis and treatment can lead to serious complications, and be fatal. Thus, it is important to be aware...
Facial Pain
Facial Pain
Facial pain is common, and it can be not easy to form a certain diagnosis. In this article, we will provide a differential for the causes of facial pain and key features to consider....
Chronic Kidney Disease
Managing patients with CKD
In whichever specialty you work, you will encounter large numbers of patients with chronic kidney disease and this will impact many components of their care. Your role as a junior is...
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...
Endocrinology
Thyroid Disease
As a junior, you will frequently see patients who potentially have thyroid dysfunction. The problem is these patients often present with quite generalised symptoms and you may struggle...
Groin Lumps
Groin Lumps
The groin, also known as the inguinal region, extends from the anterior superior iliac spine (ASIS) anterolaterally, the thigh inferiorly and the pubic tubercle medially. It is an anatomical...

Latest Content

Neutropenic Sepsis
Neutropenic Sepsis
Please read an overview of the management of sepsis before reading this article. Neutropenic sepsis is defined as a temperature of greater than 38°C or any symptoms and/or signs of...
Self-Discharge
Self-discharge
Frequently patients wish to self-discharge from hospitals. This article pertains to adult patients only (18y+) and these patients can be broadly split into three groups: Those that...
On Call Tips
On Call Tips
FY1s are usually most apprehensive about being on call, but it is also the shift you will usually learn the most. Predominantly as an FY1 you will be doing ward cover shifts and so...
Nausea & Vomiting
Nausea & Vomiting
You will frequently get calls regarding nausea & vomiting: many patients present with it or develop it because of their diagnosis or treatment. You must consider anything concerning...
Clerking Patients
Clerking Patients: A few tips
Here we assume you know the basics, and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients...
Hyponatraemia
Hyponatraemia
Hyponatraemia (serum Sodium <135 mmol/L) is one of the most common electrolyte abnormalities you will see and so a systematic approach to identifying the underlying cause and management...
Paracetamol Overdose
Paracetamol Overdose
Paracetamol overdose is a common presentation in A&E and so you may often find yourself looking after them. The information below is to help give you an overview. This article (like...
NIV
Non-Invasive Ventilation
Non-invasive ventilation is a way of providing ventilatory support to patients in respiratory failure without using an invasive airway device (e.g. ET tube or tracheostomy tube). The...
COPD
Acute COPD exacerbation
As an FY1, you are unlikely to be expected to make decisions about long term COPD management therefore focus your efforts on learning how to deal with acute exacerbations. Initial...
Breaking Bad News
Breaking Bad News
As a junior doctor, you will have face situations where you have to convey potentially distressing information, whether it is explaining a diagnosis or blood results to a patient or...
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