The theme for this week was Venous thromboembolism. We heard from CC about the epidemiology of VTE (extrememly important given the need for pre-test probability assessments prior to lab testing); from VJ regarding investigation (the synthesis of clinical assessment such as Well’s with d-dimer estimation and imaging); and from AC about treatment. The prize this week goes to Dr Joshi for a well presented talk with excellent handout and quoted sources.
The discussion paper raised the importance of precision in diagnosis and communication. Investigations leading to a low probability of DVT are not the same as excluding DVT, even if the treatment decision is to not anticoagulate.
Next week’s theme is disorders which may present as ‘anxiety’:
Phaeochromocytoma (VJ)
Thyrotoxicosis
SVT (AC)
Hypoxia (CC)
Prescription Drugs (MJM)
Substance misuse (GAJ)
(we are not doing PTE since we have so recently done VTE)
wo minutes only, keep it concise and precise; quote your sources.
The paper for discussion on 22nd is Does This Patient With Headache Have a Migraine or Need Neuroimaging? Michael E. Detsky et al JAMA. 2006;296:1274-1283. Get it via the elibrary.
Interesting topics:
Retroperitoneal Fibrosis
The case for chocolate
MJM
1 comment:
Mike. I am the editor of the journal 'He@lth Information on the Internet' published by the RSM Press http://www.hioti.org I wonder whether you would be interested in writing an article on your experiences of running MJM Wardounds. My contact details can be found on my Web page. Thanks.
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