Sunday, April 22, 2007

Wardround 20iv7



This week’s two minute tutorial
theme was Neuropathy. SS gave us a strategy for investigation and will update/reorder it for next week. My own approach is in four steps: to classify the neuropathy as acute, sub-acute or chronic then as sensory, motor, autonomic or mixed, followed by an initial screen for the most common causes. What do you think that screen should comprise? Step four is NCS and everything else.

For next time we will review glomerulonephritis. The assignments will be:
Nephritic syndrome DK
Nephrotic syndrome LF
Classification CS (make it useful for MJM)
IgA nephropathy TJ
Membranous GN SS

Remember two minutes only. The aim is to inform, rather than hypnotise, the group so keep the talks concise yet precise, and quote your sources.

The reading for next week will be White coats and fingerprints: diagnostic reasoning in medicine and investigative methods of fictional detectives. C Rapezzi, R Ferrari, A Branzi. BMJ 2005;331:1491-1494 (24 December), doi:10.1136/bmj.331.7531.1491

Interesting topics
Trifascicular block (ECG and look it up in uptodate)
Non-epileptic attack disorder
Serratia Marcescans

MJM

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