Friday, October 24, 2008

Wardround 24x8

The Two minute talks today were about arrythmias. Well researched and reasonably timed, but I would suggest more thought is given to the two minute limit. For next week : opportunistic infections with HIV: Pneumocystis pneumonia, atypical mycobacteria, toxoplasma, candida and cryptococcus. You have your assignments. If we have any extra people gatecrashing the talk they should choose another to do eg aspergillus, TB etc.

The paper for discussion on Tuesday will be The kindness of strangers. Eileen Palmer, BMJ 2008;337:a1993.



MJM

Monday, October 13, 2008

Wardround 10x8

The Reading for Tuesday is Trust, Anonymous, Bandolier. Read and think. Articles can be like lamps. Look at them carefully before choosing to use one for illumination. It could enlighten the subject matter, cast important issues into relative shadow, or even blind you to the whole subject.

The talks this week were excellent. Imported infections are not as uncommon as you might think, even in a place like D&G. The important thinks to know are where they have been, what they have been doing, who else has been involved. Use a resource such as travalax to find what is happening in the region and don't overlook the treatable (malaria, bacterial sepsis). I wondered about putting rabies in those parentheses, but perhaps that should be in the preventable category. I would suggest you read the local viral haemorrhagic fever protocol.

For next Friday the talks will be about the patient with an acute abdomen who finds themselves on a medical unit. No cop-outs here, I don't want a two second talk "refer to surgeons". The surgical team are all very busy in theatre. Only the surgical F1 is available and you are going to be forced to manage the patient initially.

Acute Pancreatitis F
Acute Vascular Events A
Perforated hollow Viscus O

Two minutes please. Keep it precise and concise.

Interesting Topics

Sepsis resuscitation bundle

Monday, October 06, 2008

Wardround 3x8

The reading material for Tuesday is Commercial Features of Placebo and Therapeutic Efficacy, Rebecca L. Waber; Baba Shiv; Ziv Carmon; Dan Ariely, Journal of the American Medical Association, March 5, 2008; 299: 1016-1017. Get it via the elibrary, read and think.

Our two minute tutorials for Friday are Imported diseases. You each have two minutes to enlighten us on the patient who is feverish and:

Fell in the water of Lake Malawai (H)
Was bitten by a dog at Giza (F)
Was bitten by a bug on the Amazon (A)
Has a nosebleed having returned from Wagadugu (Z)

MJM