Palliative Medicine

Hypercalcaemia

Serum calcium concentration is tightly regulated between 2.1-2.6mmol/L. Severe hypercalcaemia is a life-threatening electrolyte emergency requiring prompt recognition and urgent treatment.  Do check out our...

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Nausea & Vomiting

You will frequently get calls regarding nausea & vomiting: many patients present with it or develop it because of their diagnosis or treatment. You must...

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Neutropenic Sepsis

Please read an overview of the management of sepsis before reading this article. ContentsDefinitionHigh-risk patientsSigns and symptomsInvestigations and ManagementConfirming the diagnosisScoring systemsFollow upReferences Definition Neutropenic...

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Palliative Care

Dying is a natural process and unfortunately, something that we all come across in our daily jobs, including whilst on call. Despite this, very little...

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Prescribing analgesia

When assessing pain, ensure you begin by taking a history to characterise the pain as neuropathic pain, inflammatory pain and oncological pain all respond to...

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Seizures

Scenario: You are bleeped by one of the staff nurses to review a patient on the orthopaedic ward who is “jerking in her bed”. She...

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Sepsis

Sepsis is an infection with evidence of organ dysfunction. Septic shock is when a patient with sepsis is hypotensive despite appropriate fluid resuscitation. ContentsIntroductionHigh-risk criteriaSepsis...

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Superior Vena Cava Syndrome

SVC syndrome is an oncological emergency. There is obstruction of the superior vena cava resulting in stagnating blood and a high risk of thrombosis. Due...

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