July 22nd, 2010
Those of you who guessed B as the answer to our question of the day on hepatitis C were correct!
The chances of transmission are as follows:
Condition
Notes
HIV/AIDS 0.3%
Risk assessment needed prior to administering post exposure prophylaxis
Hep C [...]
January 8th, 2010
A medical student is practising for her OSCE exams on the ward…
She examines a 19 year old female patient admitted with asthma on the medical assessment ward for revision purposes.
The patient has a past medical history she has the occasional migraine, and eczema.
The observations are as follows.
BP 128/70
Pulse 98 regular
Fingerprick blood glucose 8.3
Oxygen Sats 97% [...]
August 9th, 2009
Thanks for all of your great responses to our question of the day – some good analyses and discussion.
So here we go with the likely pathology …
Symmetrical findings make a central lesion less likely (they would localise).
The reflexes and sensation are intact, making a cord or peripheral nerve lesion unlikely.
The absence of fatigability [...]
July 22nd, 2009
A 64 year old man presents with a history of weakness and fatigue. He has lost 3 stone in weight. On systemic enquiry, he has no other clinical symptoms, other than a mild dry cough which he has had for 3 days and some occasional dysuria, present intermittently for 6 months. His examination findings are [...]
June 2nd, 2009
A 64 year old male presents with a symmetrical arthritis of both hands (history from the GP letter) with early morning stiffness. His X-rays of his hands done before clinic show the following:
Periarticular osteoporosis of the MCP joints
Erosion on the ulnar styloid
Symmetrical distribution of disease
Reduced joint space at the carpal [...]
May 11th, 2009
The following weeks will represent the culmination of years of hard work by medical students over the past 1-5 years. Revision patterns have been changing and increasingly medical students are approaching final examinations preparing for them using web based MCQ, OSCE and video guides. For the first time, resources like podcasts and the like have [...]