Abstract With the widespread use of multiple channel biochemical auto analysers hypercalcaemia has become a common incidental finding. The approach to managing a patient with hypercalcaemia requires

Abstract Guillain-Barré Syndrome (GBS) is an acute inflammatory polyneuropathy. Typical presentation is one of ascending tetraparesis with aref lexia. Variant forms of GBS include ataxia and ophthalmoplegia

Abstract Dysphagia (subjective difficulty in swallowing) is a common clinical problem, particularly in the elderly population. Ideally, patients should be assessed promptly in the appropriate outpatient

Abstract Pneumonia causes more deaths than any other infectious disease in the developed world. Patients who develop pneumonia in the community therefore require early recognition, targeted investigation

(C Ramsey)

· The following must be assessed in all patients attending hospital with suspected asthma exacerbations:
1. PEF.
2. Pulse & Respiration rate.
3. Clinical

One of the commonest requests for out of hours imaging is for cranial CT in patients with possible meningitis. Telephone conversations like this may be familiar: “Hello I’m the medical SHO on

Milk–alkali syndrome is described as a triad of hypercalcaemia, metabolic alkalosis and renal impairment, resulting from the ingestion of calcium and absorbable alkali1. It was more common in the

Abstract Variceal haemorrhage is a life-threatening condition requiring prompt emergency therapy. This paper summarises the key aspects of management of this condition in the acute setting, including

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