MJM Wardrounds

This week’s two minute tutorials were:
Dr Mohan -Obesity as a risk factor for AF (8/8)
Dr Tuck - Mobile phone safety in hospitals (6/8)
Dr Queen – Diagnosis of Churg-Strauss (3/8)

I have asked Dr Mohan to post the reference of the paper in the comments section and I see he has done so in the comments section of 'palindromic rheumatism'.

For next Friday you are challenged to choose the ten drugs you would take in your ‘doctor’s bag’ to a disaster area. You must choose five antibiotics and five others. Please post your choices in the comments before next Friday. If you are not on the wardround please feel free to post your choices as well. As ever, a prize of kudos for the best.

For those on the wardround next week, your two minute tutorial will be your chance to support your choice. I am still waiting for info on clavulanic acid (next week, Dr Queen, please), and glycopeptide antibiotics (Dr Mohan)

The reading for next week is:
On the antiseptic principle in the Practice of surgery.
Joseph Lister. Lancet 1867, Sept 21, 90 (2299) 353-356
You should be able to get the PDF using your Athens password.
doi:10.1016/S0140-6736(02)51827-4 (don’t know what a DOI is?....better find out, you will come across them again)

Interesting cases this week (I’ve cheated a bit by listing some things seen earlier in the week but not on the actual round).

Nephrogenic fibrosing dermopathy (one of the pseudosclerodermas)
Hypercalcaemia (how is it treated) 2
Acute renal failure with normal urea but high creatinine (how does that happen?)
Pancytopenia with myocrisin (Is that bad news?)
Hickman lines and infection (should it stay or should it go?) ...also
Stridor in Wegener’s Granulomatosis
Unilateral wheeze (what could that be?)
Acute Arterial occlusion (tell me more)
Rash and fever after returning from rural Nicaragua (what could that be?...have you tried travax?)

Don’t forget your two minute tutorials…defend your choice of drugs...be precise and concise

If anyone out there would like to submit a two minute tutorial for the podcast just leave me a note in one of the comments.

MJM