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Appraisal
Many of us have only heard of appraisals happening in the corporate or in the IT sectors. Here in the NHS, appraisals are done annually for all doctors. What is an appraisal? It...
Gynaecological Examination
Gynaecological Examination
If the thought of conducting an intimate examination or attempting to wield (without any embarrassing pitfalls) the contraption that is the speculum is enough to fill you with apprehension-...
Referral Cheat Sheet
Referral Cheat Sheet
Our referral cheat sheet is our most popular resource with over 50,000 downloads! It has key information to provide when referring to every specialty. Special thanks to Drs Ben Turner...
Urinalysis
Urinalysis
Urinalysis is the physical and chemical examination of a urine sample. It is a common procedure that can be done quickly and yields important clinical information. This article will...
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....
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NHS Screening Programmes
The NHS offers several screening programmes, following recommendations set by the UK National Screening Committee. They are designed to aid early detection of serious conditions (such...

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Marbling MTB
Management of the Aggressive Patient
At times as a resident 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 resident 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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