Download Emergencies in Clinical Medicine by Piers Page, Greg Skinner PDF

By Piers Page, Greg Skinner

An easy-to-use consultant to the administration of universal clinical emergencies; this e-book is a vital for all junior medical professionals or scientific scholars. Emergencies almost always current first to the junior health care professional, both because of direct statement at the ward, or a mobilephone name from nursing employees while on name. the main to their administration is well timed reputation and intervention. This ebook provides the junior surgeon and senior clinical pupil the boldness to do that. The textual content covers emergencies from either a problem-based and disease-based procedure, with the publication being divided into sections - displays and ailments.

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G. g. g. vasculitic disorders) Ž RS Ž Bronchial breathing, coarse crackles and dull percussion indicate infection Ž Bibasal fine crackles suggest pulmonary oedema Ž Stony dull percussion and reduced air entry may reveal a pleural effusion—is there an underlying malignancy? Ž Abdominal Ž Hepatomegaly or splenomegaly can be present in systemic diseases or malignancy Investigations Ž ABGs Ž Can give an indication of lung function if the patient is severely unwell—check the A–a O2 gradient (see p. 422–424) Ž FBC, CRP, coagulation screen Ž Raised inflammatory markers will suggest infective cause Ž Coagulopathy may be revealed as cause or exacerbating factor Ž U&Es Ž ¥Urea may make you consider whether this is haematemesis (but large bleeds may make patients swallow significant quantities of blood) 33 34 CHAPTER 2 Presentations Ž Autoantibody screen Ž May highlight connective tissue/autoimmune disease Ž CXR Ž Look for pulmonary tuberculous granulomas or opacities suggestive of neoplasia Ž Wedges of decreased density in the lung fields may indicate PE (although will often not be present) Ž Consolidation will suggest pneumonia, but may obscure an underlying neoplasm Ž Pleural effusion should make you suspicious of underlying malignancy Ž ECG Ž May show changes suggestive of PE (see p.

112–115) Ž Ž Further reading Ž OHCM, 7th edn, Oxford: Oxford University Press, p. 62. Ž Oxford Textbook of Medicine, 4th edn, vol. 2. Oxford: Oxford University Press, p. 1284, 1480. 35 36 CHAPTER 2 Presentations Reduced oxygen saturation 3 Reduced oxygen saturation This can be a very common call to see a patient owing to the widespread use of pulse oximeters. It is vitally important to differentiate this from hypoxia (failure to deliver adequate oxygen to the body tissues), which requires urgent treatment.

It inevitably takes far more effort to do this around a busy clinical rota, but brings great benefits. If you are lucky and enjoying stress-free jobs, look around you. Do any of your colleagues need you? HELP! I NEED SOMEBODY… 1 Where to turn The Samaritans Samaritans is available 24 hours a day to provide confidential emotional support for people who are experiencing feelings of distress or despair, including those which may lead to suicide. org Doctors’ Support Network The Doctors’ Support Network (DSN) is a warm, friendly self-help group for doctors with mental health concerns.

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