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ECG Case 107

86 yr old male referred by his General Practitioner with worsening renal failure. Describe and interpret this ECG. LITFL Top 100 ECG

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Ultrasound Case 086

A 75 year old man with a history of fibrosing alveolitis, on home oxygen presented with chest and neck pain, a strange and altered voice and itchy sensation in his throat, and swelling of his neck. It had gradually worsened over 10 days prior to presentation

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Don’t put your Patient in a Box

The fourth rule of Expensive Scare Medicine is: 'If you measure something and it is not normal, make it normal if it is safe to do so'. But beware! This can lead to a dangerous and insatiable desire for 'euboxia' - the pathophysiological state whereby 'all boxes on a pathology print-out are in the normal range'.

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The Art of Sloughing

Your first referral to an inpatient team can be daunting. As a waiting room MUPPET it is often your first opportunity to put into practice lessons learned from years of medical pimping. The UCEM hopes to demonstrate through a series of video tutorials, the alternate sloughing methods employed by internal specialists. Awareness of sloughing tactics will greatly assist in refining your referral skills.