Archive for the ‘Uncategorised’ Category

WHO Declarations

March 9, 2015

Declaration of:

  • Geneva – Germany (Nazi); new Hippocratic oath in view of crimes committed in Nazi Germany
  • Helsinki – Human experimentation; ethical principles against┬átesting man
  • Tokyo – Torture; physician ethics regarding torture and inhumane treatment
  • Malta – Munchies; force-feeding people is inhumane
  • Lisbon – Liberties; the rights of patients
  • Ottawa – Optimal child health / Offspring (think children)

Sepsis 6

November 17, 2013

O2 FLUID

  • Oxygen
  • Fluids IV
  • Lactate measurement
  • Urine output measurement (catheterisation)
  • Infection screen inc. blood cultures, FBC, CRP +/- urine dip/culture, swabs
  • Drugs – antibiotics as appropriate

Causes of unintentional weight loss in elderly patients

September 13, 2012

MEALS ON WHEALS

  • Medication effects
  • Emotional problems (especially depression)
  • Anorexia nervosa, alcoholism
  • Late life paranoia
  • Swallowing disorders
  • Oral factors (such as poorly fitting dentures, caries)
  • No money
  • Wandering and other dementia related behaviours
  • Hyperthyroidism, hypothyroidism, hyperparathyroidism, hypoadrenalism
  • Enteric problems
  • Eating problems (such as an inability to feed oneself)
  • Low salt, low cholesterol diet
  • Stones, social problems (such as isolation, an inability to obtain preferred foods)

Pain questions 2

May 8, 2012

OPQRST

  • Onset and duration
  • Position (site)
  • Quality (character) e.g. sharp, tight, dull
  • Radiation, Relationship to movement, Relieving or aggravating factors
  • Severity e.g. out of 10, affecting life/work and aSsociated symptoms e.g. nausea, palpitations, dyspnoea
  • Treatment e.g. over-the-counter painkillers

Modified Wilson screening criteria

January 4, 2012

IATROGENIC

  • Important – the condition should be an important one
  • Acceptable treatment for the disease
  • Treatment and diagnostic facilities should be available
  • Recognisable at an early stage of symptoms
  • Opinions on who to treat as patients must be agreed
  • Guaranteed safety e.g. low radiation exposure
  • Examination must be acceptable by the patient
  • Natural history of the disease must be known
  • Inexpensive test
  • Continuous screening i.e. not a one-off

(Oxford Handbook of Clinical Specialties)

Screening criteria

June 12, 2011

In order for a screening program to be as effective as possible…

I Understand SCREEN

  • Important – the disease should be important
  • Understanding of the natural history of the disease is essential
  • Sensitive, specific test
  • Common condition that can lead to serious morbidity/mortality
  • Risks outweighed by┬ábenefits
  • Early stage of identification – i.e. the test cannot only detect those with advanced disease
  • Expenses low (inExpensive)
  • Non-invasive and acceptable test

Surgical sieve

April 2, 2011

THIN MAIDEN GP

  • Trauma
  • Haematological
  • Infective
  • Neoplastic
  • Metabolic
  • Autoimmune
  • Inflammatory
  • Drugs / Degenerative
  • Endocrine
  • Nutritional
  • Genetic, congenital
  • Psychiatric