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Acute medicine was recognised as a subspeciality of General (Internal) Medicine by the Specialist Training Authority in July 2003. In practice it had been growing as a clinical entity for over a decade…

Acute Medicine remains high on the agenda at all levels of organisation and planning in Healthcare provision and training in the UK. In March 2006, an RCP report to the Health Committee Inquiry…

Critical care is now a well established specialty in the UK. The rapid development of acute medicine across the country has many similarities to the development of critical care in the 1960’s. How…

Abstract Native renal artery stenosis resulting in hypertensive encephalopathy is exceptionally rare, with only 3 previous case reports in adults. We report such a case in a previously well 20 year

Introduction Venlafaxine is a selective serotonin and noradrenaline re-uptake inhibitor (SNRI), used in the treatment of depressive illness and anxiety disorder. Overdose may result in cardiac and neurotoxicity,

Abstract Travel-related infections are becoming more common as travel abroad becomes easier. Whilst most imported infections will have recognisable features some of the more obscure will be less familiar

Abstract Infective endocarditis (IE) is an infection, usually of bacterial aetiology, which can affect any part of the endovascular surface of the heart or large intrathoracic vessels but most commonly

Abstract Symptoms compatible with a transient ischaemic attack (TIA) are a common reason to seek medical attention. Most TIAs resolve within an hour and leave no residual symptoms or signs. This can

Introduction The term shock probably originates from an inappropriate English translation of the word choc, which was used by the French army surgeon Henri Francois Le Dran to describe the collapse