Tuesday 28 September 2010

new year

welcome to this site: a space to record & review shared experiences


do leave comments / questions
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half of you have heard me rant on SNP-ignorance


i would point you to the first post in this blog for more on the issue
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yesterday 3 out of 5 of you clerked patients with some form of 'collapse'


sheena then went on to present the case of a 64 year old man who 'collapsed' at the bus stop


the first important point was: the terminology is confused & task 1 is to work out which type of collapse the patient is talking about


namely:


- loss of consciousness
- limb weakness
- loss of balance
- vertigo
- light-headedness on standing


see below for half an algorithm from Davidsons

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we mostly talked about loss of consciousness & were tentatively dividing causes into cardiovascular, neurological & other

we did not get round to organising our diagnostic lists properly

we moved on to examining the cerebellar system (see next post)
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