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Audits & Quality Improvement Projects
Audits & Quality Improvement Projects (QIPs)
Audits & QIPs are a way to identify issues, drive changes and assess the effects they have. It is your way of making...
ePortfolio
ePortfolio
Your eportfolio is a tool to store and record evidence that demonstrates your progress, clinical competencies and reflections....
Referral Cheat Sheet
Referral Cheat Sheet
Our referral cheat sheet is our most popular resource having been downloaded thousands of times! It has key information to...
Ranking Foundation Jobs
Ranking Foundation Jobs
If you’re worried about not getting your top choice, you shouldn’t worry. It doesn’t affect your future...
Ward Round
Surviving Ward Rounds
It takes time to get used to the ward round. Particularly, when patients are being seen so fast it seems impossible to document...
Fluid Balance
Fluid Balance
Almost every patient admitted to hospital receives IV fluids at some point in their journey. However, the body manages this,...

Latest Content

Documentation

Medical documentation should authentically represent every consultation and is primarily intended to support patient care. Good record-keeping means you or a colleague can reconstruct key parts of each patient contact without relying on memory.  In an event of a complaint or clinical negligence claim, evidence

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Headache

Acute headache is a common complaint that you’ll see whilst on the wards or in the acute take. Although most causes of headaches are completely benign, the scope article is to help you identify which headaches may have life-threatening or permanent consequences if missed. You

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Refeeding Syndrome

Defined as a collection of electrolyte abnormalities associated with a massive intracellular shift of electrolytes. Associated with aggressive nutritional rehabilitation of malnourished patients in e.g. malignancy, chronic organ dysfunction, inflammatory conditions (e.g. pancreatitis, colitis), the perioperative period as well as anorexia nervosa. Clinical features Sequelae

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Hypophosphataemia

The UK Medicines Information group have provided excellent guidance on how to replace phosphate. Clinical features Generally asymptomatic if mild Can cause many systemic features CNS & MSK: weakness/myalgia, lethargy, confusion, seizures Cardiorespiratory failure Rickets/Osteomalacia if chronic Causes Malabsorption D&V Refeeding syndrome Investigations Check the

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Hypocalcaemia

Alongside strengthening bone, calcium is used in the clotting cascade, in muscle contraction, and in nerve-signalling. As such, low levels can lead to coagulopathy, smooth and skeletal muscle-spasms, heart problems, altered sensation and even seizures. Acute hypocalcaemia that is severe (<1.9 mmol/L) or symptomatic can

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Death Certification

After a patient has died you may be asked to complete the death certificate. It may be issued by a doctor who has provided care during the last illness and who has seen the deceased within 14 days of death (28 days in Northern Ireland)

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Abdominal Pain

When you are on call, you will often get a bleep about a patient with abdominal pain. Abdominal pain can be a bit of a minefield and it is easy to get bogged down with all the possibilities. The key is to be systematic and

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