Case 4

Martha, a 50-year-old lady, presents to your surgery complaining of a 5-month history of stiff painful wrists, and of swelling in her hands. She tells you the hand stiffness is worse when she wakes, and that she also has morning foot pain and a feeling of walking on marbles. Martha also tells you that she... Continue Reading →

Case 3

Charlie, a 26-year-old male, slipped and fell down a set of concrete steps.  He hit his head and was rendered unconscious for around 15 seconds (reported by his friends). Six hours later the same day he lost consciousness and was taken to the emergency department. History and preliminary examination pointed toward an intracranial bleed. a)... Continue Reading →

What’s in my First-Aid kit?

This week’s post is all about ‘What’s in my First-Aid kit’. I can’t say I’m much of a daredevil; all my holidays tend to be city breaks full of organised fun. Nevertheless, my fabulous auntie gifted me with this beautiful Travel-Kit from Stanford University Hospital (what a dream)! I thought it would be fun to... Continue Reading →

Case 2

David, a 34-year-old man, suffered a crush injury to his thorax whilst cutting trees in a garden. His co-worker took him to the emergency department. Upon arrival he was breathless and tachycardic. The doctor diagnosed a tension pneumothorax and inserted a chest drain. a) Describe the pleural layers, their location/regions and arrangement. Explain the location... Continue Reading →

Case 1

James is a 57-year old teacher who presented in the ED with haematemesis (vomiting blood) and abdominal discomfort. James is an alcoholic. He consumes 25 units of alcohol per day and has done for the past 15 years. James was diagnosed with portal hypertension secondary to cirrhosis. a) Describe or draw the formation of the... Continue Reading →

Stress series – Optimising revision

It's officially spring break, which, ironically is anything but. It's snowing, -1, and for me, far off from a break. Sigh. On the plus side, I am back in my beautiful city of London and feel refreshed already. I didn't think I'd miss the air pollution, train delays and rude people as much as I... Continue Reading →

Monologue Monday

"A couple of hundred years ago, Benjamin Franklin shared with the world the secret of his success. 'Never leave that 'til tomorrow,' he said, 'Which you could do today.' This is the man who discovered electricity. You'd think more of us would listen to what he has to say. I don't know why we put... Continue Reading →

Teddy Bear Hospital

It's Sunday evening, I have had a totally unproductive weekend bingeing on Gilmore Girls and just woke up from what was meant to be a 20 minute power nap, but turned out to be a 2hour and 20 minute deep sleep.... woops. Oh well... sleep > life. So this week's post is on the Teddy... Continue Reading →

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