Monday, June 23, 2008

Wardround 20vi8

The reading for Tuesday will be The rational clinical examination. Does this patient have abnormal central venous pressure? Cook DJ, Simel DL. JAMA 1996; 275: 630-4.

The two minute talks for Friday will be slightly different. I would like you to look over a guideline of your choice (but related to adult general internal medicine, of course) and present 5 useful points from the document. As a warning example I would not find it useful to be told that nebulised beta agonists are useful in the management of acute exacerbations of COPD (I know that already), but I don't know how useful.

Not education except in its widest sense, but here are some pictures from the Summer Ball.

MJM

Friday, June 13, 2008

Wardround 13vi8

The reading for next Tuesday will be The Midnight Meal and Other Essays about Doctors, Patients, and Medicine, Jerome Lowenstein. I have put a copy on the ward.

The two minute talks for next week will be your diagnosis of the Plague of Athens.
You will find a description of the outbreak in The History of the Peloponnesian War written by Thucydides in 431 B.C. If you click on the link it will take you to a copy of the piece. The web page begins with chapter VI, but you can skip down to chapter VII (unless you would like to read about the war). If you cannot find the right section, press ctrl-F and type in plague.

You need to have an opinion on the diagnosis and be prepared to argue your corner. Make sure you revise the signs and symptoms of the disease you choose. I will post the discussion the following week and award a prize to the best argument/diagnosis.

The NPSA have issued guidance to improve the safety of chest drains.

MJM

Sunday, June 08, 2008

Wardround 6vi8

The reading for Tuesday is Doctors, Lawyers and Wolves. George J Annas, Lancet 31 May 2008. Read and reflect please.

The two minute talks are neurologically themed. The specific assignments are no longer in my possession, but you have them and can forewarn the newcomers.

A short post I am afraid but as well as working this weekend I have been sorting out my email account at home which had been reporting "2,147,433,168 messages unread". 

MJM

Sunday, June 01, 2008

Wardround 30v8

An interesting update on skin infections. What did you learn?

Cellulitis is a common condition in acute medicine. Always ask yourself if this is 'simple' or complicated. Is there immunosuppression, skin integrity, rapid progression, unexpected pain, recurrence, poor response to treatment?

You already have your asssignments for next week's talks and the discussion for Tuesday was posted last week.

The May M&M meeting when very well I felt.

Interesting topics

Unsuspected Pulmonary thromboembolism

MJM