Priya Patel

Priya Patel

Affiliations: MBCHB MRCP Norfolk and Norwich University Hospital, Colney Lane

All Journals from Priya Patel

Acute non – variceal upper gastrointestinal haemorrhage

Abstract

Upper gastrointestinal haemorrhage remains a common medical emergency with significant mortality. Management depends on appropriate and timely resuscitation, therapeutic endoscopy and surgery. This is made possible by a multidisciplinary approach incorporating protocols and scoring systems to aid risk stratification. Communication between members of the multidisciplinary team is important in determining the outcome for patients with high predicted mortality.

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Examining trainee awareness of dermatoses and dermatological assessments during acute admissions (A quality improvement project)

Abstract

Studies demonstrate 67% of elderly patients can have dermatoses, which could result in functional and psychological consequences. Elderly presentations are further complicated by comorbidities and polypharmacy. This combined with limited dermatology training at undergraduate and postgraduate levels creates diagnostic challenges. This project investigated dermatology assessments by trainees using the Trust’s acute medical admissions proforma. 100 proforma were reviewed for skin assessments alongside nursing skin care bundles. Subsequently, a skin survey was conducted amongst trainees evaluating knowledge and confidence when diagnosing and managing common dermatoses. Successively, a dermatology teaching series was delivered. Post-intervention the above were reassessed, demonstrating  improvements in most areas. The dermatology teaching series will continue alongside a Trust hospital guideline to sustain improvements in dermatological care on admission.

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