All Journals from M Lander
Abstract
Pain is a common symptom amongst patients presenting to the Acute Medical Unit, with an extensive differential diagnosis. We present the case of a patient with back and lower limb pain where the diagnosis of an atypical form of Guillain-Barre Syndrome (GBS) was made. Acute physicians must be vigilant to the less common presentations of GBS and the variations from the “classical” presentation of ascending flaccid paralysis.
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Abstract
Delirium is a common cause for acute hospital admissions. There are many potential causes for this presentation, including infection, polypharmacy and metabolic disorders. We present the case of a patient with hyponatraemia and prolonged delirium, in whom the diagnosis of non-convulsive status epilepticus (NCSE) was made following electroencephalography (EEG).
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Breathlessness is one of the most common symptoms experienced at the end of life, affecting all areas of a patient’s life. It is frightening and leads to high rates of emergency hospital attendances. Often, there is no easily reversible cause and patients are admitted to the acute medical unit (AMU) in order to manage their symptoms with little overall benefit – frustrating patients and clinicians alike. This review reminds the generalist of the significance of breathlessness as a symptom. It highlights the management strategies available to effect improvement and gives practical tips on how this can be achieved within the busy and time-pressured environment of the AMU.
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