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The fifth meeting of the Society for Acute Medicine took place on the 15th and 16th April of this year, hosted by Dr Paul Jenkins and Dr Rob Mallinson in Norwich. The education centre of the new Norfolk

The pressure of acute admissions continues to place a great strain on those staff fighting on the front line. I stand in awe of those with enthusiasm for the battle but am occasionally…

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Abstract A 52 year old patient, originally thought to have musculoskeletal chest pain was found to have features consistent with infective pleurisy on initial blood tests and chest x-ray, with a negative

Abstract Direct ophthalmoscopy is an essential part of the full systemic examination. However, the technique is challenging and time-consuming. In the acute medical setting therefore, it is advisable

Abstract Pulmonary embolism is common, treatable and often overlooked. Genetic factors such as factor V Leiden and acquired factors such as immobility, pregnancy, surgery and malignancy increase the

Abstract Ventilation of the asthmatic is a major challenge with a potential for catastrophic problems that can and should be anticipated. Therapy should be tailored to the individual’s needs. If managed

Abstract Cellulitis is a common medical emergency. Investigations often fail to establish the specific microbial aetiology and there are few data to support common choices of antibiotic therapy used

Abstract Anaphylaxis is a severe, potentially life threatening allergic reaction which occurs in adults and children. Prompt diagnosis and appropriate acute medical management will prevent fatal anaphylactic

Abstract Diabetic ketoacidosis is a life-threatening medical emergency which requires prompt diagnosis and treatment. Understanding the mechanism by which lack of insulin causes dehydration and acidosis

When I was invited to take over as Editor of this journal, I had little idea of the amount of work which went into its production. I am indebted to Paul Jenkins for staying on in the role of sub-editor,