on call @ UCLH

having been on call on monday night i thought i would share with you what went on

2100-0900 we had:

- a 46-year-old lady with a large pneumothorax (which needed an emergency drain) and 'crack lung'
- a 70-something malaysian lady with HONK & a Na of 178
- a 20-something lady with a fever & headache who we LP'd
- a 40-something lady from ghana with a fever and an ALT >3,000 (bilirubin around 200)
- an 80-something man with an INR of 4 & PR bleeding
- a 70-something man with metal mitral & aortic valves with worsening heart failure
- 2 men needing urinary catheters
- a 30-something lady 34 weeks pregnant ?PE

+ lots of other stuff

we had 2 hardy students (sheena & andy) stay beyond 0300 (but actually that was before a lot of the interesting stuff!)
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the reason i put this up is:

1) to demonstrate that clinical problems like these are our stock in trade
2) to encourage you to be on call at night (all night if possible)
 - the hospital is different at night, there are fewer people around & if you make friends there is a lot going on
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i will put up the radiographs of the pneumothorax lady up next week


Salaam


sabih