Categories
Gastroenterology Medicine

Decompensated Liver Disease and Cirrhosis

Decompensated liver disease and cirrhosis are common pathological states present on the gastroenterology ward. It is important to understand the basic principles of management and aetiology as a junior doctor in these complex and unwell patients. Dr Liz Sweeney is a specialist hepatology registrar at the Royal Liverpool Hospital. In this episode, she talks to […]

Categories
Gastroenterology Medicine

Acute Alcohol Withdrawal and Alcoholic Hepatitis

Acute alcohol withdrawal and alcoholic hepatitis are common scenarios presenting to the Emergency Department (ED) and the ward. Recognition, investigation and management principles are imperative to prevent serious complications. Dr Liz Sweeney is a specialist hepatology registrar at the Royal Liverpool Hospital. In this episode, she talks to us about acute alcohol withdrawal and alcoholic […]

Categories
Cardiology Medicine

Atrial Fibrillation

Atrial Fibrillation is the most common arrhythmia (1, 2) and it can often feel like an on call shift is dominated by patients with AF when it is not controlled. Patients with AF present to Emergency Departments and acute medical takes frequently and it complicates many surgical patient admissions too. On the face of it, […]

Categories
Uncategorized

Difficult Conversations

Difficult conversations are exactly that: difficult. They may be difficult for numerous factors that are related to the subject matter, the patient, their relatives and friends and yourself. The first time you go through one of these conversation, you may feel drained, raw and emotional or you may not feel affected at all. Dr James […]

Categories
Working Life

What I’ve Learned – #TipsForNewDocs

As I come to the end of FY2, I’ve been thinking a lot about my experiences over the last the two years since I qualified as a doctor & what (hopefully, helpful and honest) advice I’d give to brand new medics on the cusp of a career in the NHS. Here’s what I’ve learned: 1. […]

Categories
Medicine Renal

Acute Kidney Injury – Part 2

Acute Kidney Injury (AKI) is a disease process that carries a significant mortality impact (1). The complications that accompany AKI can be difficult to manage and may require specialist input if resistant to treatment. The management of AKI also changes when faced with some special situations. Dr Aled Lewis is a Consultant Nephrologist at Glan […]

Categories
Renal

Acute Kidney Injury – Part 1

Acute Kidney Injury (AKI) is not only common but has an enormous impact upon patients. Length of stay in hospital can be increased alongside increases in mortality (1). This effect on in-hospital mortality has attracted significant attention from the media in recent years (2). Increasingly, hospital blood reporting software includes AKI alerts based upon creatinine […]

Categories
Surgery

Head Injuries

Head injuries are a common reason for attending the Emergency Department (1). They are also a common situation to be called about when a patient falls on the ward whilst you are on ward cover, especially at night when you have less immediate support. How do you assess these patients? Who needs a CT scan? […]

Categories
Diabetes/Endocrine

Diabetes and Peri-Operative Care

“How do I manage a patient with diabetes who is going for surgery? Should I start a variable rate intravenous insulin infusion? When should I resume their metformin?” For the answer to all these questions and more, check out our latest FOAMdation podcast and blog. Listen below: iTunes Podbean (non-iPhone) Dr David Ewins is a […]

Categories
Elderly Care

Falls

Over 280 000 falls occur in acute, community and mental health hospitals across England and Wales each year (1). Falls can increase the length of stay and prevent patients from returning to independent living and at worst result in severe injuries and death (1, 2).   Dr Josh Deb-Barman is a speciality doctor in Elderly Care […]

Categories
Introductions

Get Involved!!

Would you like to educate thousands of people across the globe from the comfort of your own chair? Do you have a topic that has been burning away that you feel Foundation Doctors in the UK and other junior doctors would benefit from knowing more about? Or is one of your seniors keen on teaching […]

Categories
Surgery

Bowel Obstruction

Acute bowel obstruction is a common surgical presentation. Delay in identification of bowel obstruction can lead to decreased bowel perfusion, ischaemia, necrosis and perforation. In one study, inclusive of both large and small bowel obstruction, 30-day mortality was as high as 36.6% with in hospital mortality 6.6% and a mean survival of 173 days from […]