Patients and families that want “everything” done
Patients and families, when asked, may say they want "everything" done. The request for "everything" rarely really means "everything" - this needs to be explored
Hyperphosphataemia
Hyperphosphataemia: renal failure; increased renal resorption (hypoparathyroidism, thyrotoxicosis); cellular injury with release (tumour lysis syndrome, rhabdomyolysis, haemolysis, ischemic gut)
Transoesophageal Echocardiography
Transoesophageal Echocardiography: allow real time anatomical and physiological assessment of cardiac status; probes (single, bi, omiplane and epivascular)
Shunts and Echocardiography
OVERVIEW can use bubble testing to ID calculate gradients if L->R shunt reverses due to pulmonary hypertension it is Eisenmenger syndrome Echo may not detect extra-cardiac shunts ASD patent foramen ovale (30% incidence in general population) ostium secundum ostium primum…
Mitral Stenosis Echocardiography
Mitral Stenosis Echocardiography
Mitral Regurgitation Echocardiography
Mitral Regurgitation Echocardiography
Brain Dead?
A baffling case of apparent brain death... Can you work out what has happened? A 35-year old female with a history of multiple sclerosis and depression is found collapsed at home. She is known to have access to quetiapine.
Funtabulously Frivolous Friday Five 128
Funtabulously Frivolous Friday Five 128 - Just when you thought your brain could unwind on a Friday, some medical trivia FFFF.
Defibrillators
Defibrillator: application of an electrical current across the heart to convert VF/VT -> sinus rhythm
Abdominal Compartment Syndrome
Abdominal Compartment Syndrome and Intra-abdominal Hypertension
Electrolyte Abnormalities Summary
Electrolyte Abnormalities Summary
Calcium Replacement
Calcium Replacement: controversial issue; generally accepted that patient should have replacement if ionised Ca2+ < 0.8mmol/L