Month December 2018

If the lights go out…

If the light on the laryngoscope fails, clean contact between blade and handle, check bulb is screwed in place securely. If this fails, use a spoon

Unusual Urine Clinical Cases

Tyrian rage

Purple Urine: Usually alkaline urine with degradation of indoxyl sulfate (indican), dietary tryptophan metabolite, into indigo (blue) and indirubin (red)

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DRSABCDE of CXR Interpretation

Chest X-Rays (CXR) are routine investigation in clinical practice and consequently it is important for medical students and clinician’s alike to know how to interpret them. There are many approaches to CXR interpretation, each trying to ensure that key abnormalities are identified and no area is overlooked.

Research EBM 340

The Devil is in the Details

In part one of a series on clinical trials, David Denman discusses CONSORT diagrams and the CONSORT statement using the DECRA trial as an example.

Unusual Urine Clinical Cases

Mahogany Myoglobinuria

A 72 year old female is admitted following an emergency abdominal aortic aneurysm repair. Explain the biochemical results and brown urine

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Granulomatosis With Polyangiitis

The eponym 'Wegener Granulomatosis' has been replaced with the term 'Granulomatosis with polyangiitis (GPA)'. This transition was in part to achieve nomenclature symmetry with Microscopic Polyangiitis (MPA) and Eosinophilic granulomatosis with polyangiitis (EGPA, Churg-Strauss); and to remove any historical association with Friedrich Wegener following revelations of his association with the Nazi Party in World War II