Acute Medicine: Clinical Cases Uncovered by Chris Roseveare

By Chris Roseveare

Acute medication is the significant a part of beginning and professional normal scientific education and is without doubt one of the so much swiftly increasing united kingdom health center specialties.

Acute drugs: medical situations Uncovered combines sufferer situations and results, drawn from real-life studies, near to the curriculum for education generally (Acute) drugs. It offers self-assessment MCQs, EMQs and SAQs to provide clinical scholars, junior medical professionals, nurses and allied healthcare pros the appropriate instruction for all times at the wards.

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If there is a possibility of alcohol abuse or chronic malnutrition administer intravenous vitamin B simultaneously (see Case 16) 38 E Exposure This final stage requires a more general assessment of the patient; a full external examination will often be necessary, although this may take place as part of a more structured clinical examination provided the patient’s condition has been stabilised and a working diagnosis has been reached. History and examination In the setting of the acute medical ‘take’ the ability to assess patients in a timely fashion is an important skill.

Reproduced with permission from the Resucitation Council, UK. Table 3 Typical early warning score 33 Why is the patient’s breathing ineffective? g. g. asthma, broncho-spasm); coarse bilateral crackles suggest pulmonary oedema or fibrosis whereas focal crackles may imply infection • Percuss the lung fields: dull percussion may suggest failed lung expansion because of pleural fluid accumulation; hyperresonance may imply deflation of a lung due to pneumothorax What should be done? • Deliver oxygen: in most cases where breathing is inadequate a high oxygen concentration should be delivered using a mask 34 with a reservoir and a flow rate of >10 L/min.

15 ng/mL. All her medication was stopped and she has remained well ever since. Before taking any blood sample ask yourself the following questions. • What will I do if the test is abnormal? • What will I do if the test is normal? If the answer is the same for both questions, reconsider whether the test is necessary. Interpreting the results of blood tests When interpreting the results of blood tests it is important to remember the following. e. e. no test is 100% specific) Knowledge of the sensitivity and specificity of certain tests will help the clinician to determine the likelihood of a particular condition.

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