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Clinical Reviews

Bleeding from the upper gastrointestinal (GI) tract is a common medical emergency, with an incidence of between 50-150 cases per 100,000 per year.1 A recent audit by the British Society of Gastroenterology

Acute paraplegia is an emergency requiring immediate assessment by the acute medical team because of the need to rule out compressive lesions of the cord for which intervention may preserve neurological

Abstract Budd-Chiari syndrome (BCS) is the liver disease resulting from hepatic venous outflow obstruction comprising a triad of abdominal discomfort, hepatomegaly and ascites. Advances in the management

Abstract Stroke in young patients is important and early diagnosis of Takayasu’s Arteritis as the cause will assist in acute management. A retrospective notes review of six patients presenting with

Abstract Ischaemic stroke is a major cause of death and disability which costs the NHS £2.8 billion/year. Acute stroke care is developing rapidly in line with an increasing evidence base. Intravenous

Abstract This article reviews the clinical and legal issues involved in dealing with patients who refuse medical treatment following an overdose. We first describe a real case that has been made anonymous,

Abstract Dysnatraemic disorders are becoming more common with increased use of biochemical tests in routine practice. Although hyponatraemia is generally much commoner than hypernatraemia, the latter

In this article I have reviewed 4 articles of interest to acute physicians from literature covering the period January to May 2013 in the New England Journal of Medicine, British Medical Journal, Journal…

Abstract Aortic dissection is a medical emergency which carries a high mortality, particularly if undiagnosed and untreated. The diagnosis may be overlooked because the ‘classical’ history, examination

Abstract Critical Care Outreach teams have been developed in most acute hospitals within the UK. This article aims to summarise the evidence behind the development of this service and some of the outcomes…