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Student Surgery: You’re a medical student conducting a surgery list under supervision from your GP trainer. Your next patient is a retired GP who has been booked in by his wife for concerns about his memory. A 74 year old retired GP, Dr Wallis comes to see you.His wife reports that his memory is not [...]
We here at medicaleducator.co.uk are currently checking out he use of predominantly free iPhone apps on for medical students. So what we would like are three things. Why not email us at iphone@medicaleducator.co.uk if you have a point of view on any of our points below. We’re keen to supply our users with a free [...]
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 [...]
The answer is….. b. Warfarin Based on NICE Guidance 36 (AF) and the CHADS 2 scoring system. The CHADS2 score is an excellent aide memoir to anticoagulation in AF. It is based on: CHADS2 Stands for Score C Congestive heart failure 1point H hypertension 1point A Age>75 1point D Diabetes Mellitus 1point S2 Previous stroke/ [...]
A 76 year old man presents with atrial fibrillation which is permanent. He is lucid and has specifically made an appointment with you to discuss the best way of stopping him “dying ” as a result of the AF. PMHx: Hypertension (treated), Mild COPD. Nil else of note. DHx Verapamil (as treatment for AF) Amlodipine [...]
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