Category Archives: Don’t miss

Assessment of purpuric/petechial rashes

This was a BMJ module, based on this article. Steps in assessing purpuric/petechial rashes: Assess for acute illness and consider the possibility of meningococcal sepsis. If suspected, administer parenteral antibiotics and admit urgently. If meningococcus is not the suspected diagnosis, … Continue reading

Posted in Dermatology, Don't miss, Haematology | Leave a comment

Sepsis

(Notes on BMJ module) Patients at increased risk >75 yrs <1 yr The very frail The immunosuppressed Indwelling lines or catheters Breaches of the skin (cuts, blisters) Surgery within past 6/52 Pregnant currently or within past 6/52 (birth/miscarriage/TOP during that … Continue reading

Posted in Don't miss, Infectious Diseases | Leave a comment

Avascular necrosis of the femoral head

Pathogenesis of AVNFH isn’t known, but it occurs when the microcirculation of the femoral head is disrupted, leading to necrosis and eventual subchondral collapse of the femoral head (with consequent secondary arthritis). Incidence is around 1 in 50 000. It … Continue reading

Posted in Credits 2019, Don't miss, Joints, Orthopaedics | Leave a comment

Red flags in low back pain

I noticed I have someone booked into an upcoming session to see me about back pain, so I decided it was time I checked the list of red flags for back pain to be sure I don’t miss anything. This … Continue reading

Posted in Back pain, Credits 2019, Don't miss, Musculoskeletal | 1 Comment

Flexor sheath infections

AKA infected tenosynovitis. These are bad news; the flexor sheaths in the hand are a closed continuous system; if they get infected, the swelling can lead to necrosis, necrotising faciitis, and osteomyelitis. Common causes include animal bites, puncture wounds, IV … Continue reading

Posted in Credits 2019, Don't miss, Orthopaedics, Tendons | Leave a comment

Inherited cardiomyopathies

These can be pretty difficult to pick up; they’re often asymptomatic, examination is often normal, and many of the symptoms (exertional breathlessness, syncope, palpitations) can overlap with those of other illnesses. However, there are some red flags to be aware … Continue reading

Posted in Cardiovascular, Credits 2019, Don't miss | Leave a comment

Melanoma

7-point weighted checklist (7PCL) Major features: Change in size Irregular shape Irregular colour Minor features: >7mm Oozing Inflammation Change in sensation 2 points for a major feature, 1 for a minor feature; 3 or more -> 2ww referral (unless obviously … Continue reading

Posted in Dermatology, Don't miss, Skin lesions | Leave a comment