By Chris Roseveare
Acute medication is the crucial a part of beginning and professional common clinical education and is likely one of the such a lot swiftly increasing united kingdom medical institution specialties.
Acute medication: scientific instances Uncovered combines sufferer instances and results, drawn from real-life studies, on the subject of the curriculum for education quite often (Acute) drugs. It offers self-assessment MCQs, EMQs and SAQs to provide clinical scholars, junior medical professionals, nurses and allied healthcare pros the best instruction for all times at the wards.
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Additional resources for Acute Medicine: Clinical Cases Uncovered
Complaining of chest pain’, ‘short of breath’, ‘after treatment’, etc. Is there an abnormality of rate or rhythm? Information about heart rate and rhythm can be obtained from a number of sources. • A 12-lead ECG (usually includes a ‘rhythm strip’ at the bottom of the page) • A single lead ‘rhythm strip’ printout • By observing a cardiac monitor connected to the patient • By palpating the patient’s pulse • By auscultating the heart or palpating the apex beat Although this section deals predominantly with the interpretation of the ECG in isolation, it should never be forgotten that findings should always be confirmed by clinical assessment.
Sometimes a practical issue arises when a patient’s symptoms are present on waking. It may be hard to determine whether the patient was woken by the pain (implying an abrupt onset) or woke with pain (which may have developed more gradually). If the patient awoke unusually early this may suggest the former, but in practice it is wise to assume the worst case scenario and investigate accordingly. Precipitating and relieving factors • Identifying what the patient was doing immediately before the onset of the symptoms may provide useful information.
What will I do if the test is abnormal? • What will I do if the test is normal? If the answer is the same for both questions, reconsider whether the test is necessary. Interpreting the results of blood tests When interpreting the results of blood tests it is important to remember the following. e. e. no test is 100% specific) Knowledge of the sensitivity and specificity of certain tests will help the clinician to determine the likelihood of a particular condition. However, a blood test result should always be interpreted in the context of the clinical presentation.