Sunday, August 27, 2006

Wardround 25viii6

This week’s two minute talks were themed around hospital acquired infection:
HA UTI (DL) and HA Pneumonia (BW), both were well researched and almost to time. Could I ask that next week you begin to list your sources so that others can follow up on reading.

For next week the theme will be anti-viral treatments, with assignments as follows:
Hepatitis C (BW)
Hepatitis B (?GAJ)
Herpes viruses (MJM)
Influenza (CC)
SARS (LD)
Keep to time, be concise but precise, and quote your sources.

The paper for discussion had been: Changing the Paradigm for HIV Testing — The End of Exceptionalism. Ronald Bayer, Amy L. Fairchild. NEJM August 17 2006, Volume 355:647-649. Apologies to everyone for my rather abrupt and dogmatic devil’s advocacy. The paper, though ostensibly about a specific ethical issue, does offer food for thought about informed consent in general. A study has been done in D&G surveying patient's views about consent in lab testing, so perhaps we can bring that along for discussion sometime?

For next week’s reading I thought we might have something clinical rather than ethical. So let’s give some thought to syncope. Read Current evaluation and management of syncope. Kapoor WN. Circulation, Sept 24, 2002;106 (13):1606-1609.

Interesting topics this week
Periodic fever

Herpes Encephalitis

Tilt testing
uptodate also has a good introductory article on the subject.

MJM

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