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We have successfully been running with a Consultant presence in day-time (0900-1700) in the admissions area for a number of years. The recent NCEPOD report – an Acute Problem, criticised the lack


We present the case of a patient who presented with evidence of pneumonia, sepsis and anaemia but no significant abdominal signs. A routine abdominal ultrasound scan revealed evidence of spontaneous

The chest radiograph is one of the most challenging images to interpret reliably, yet accurate film reading can be very rewarding professionally and can significantly improve patient management. These

A 57 year old man patient presented with fever and frontal headache. He had a background history of sero-positive rheumatoid arthritis which was well controlled on immunomodulatory disease modifying

The MRI images (see page 27) show lobulated meningeal thickening along the medial aspect of the right middle cranial fossa extending into sylvian fissure, suprasellar cistern, interpenduncular cistern

A sixty-six year old lady was admitted after describing two ‘vacant’ episodes with collapse. She had also complained of chronic fronto-occipital headache and more than 10kg weight loss over the

Programme: Society for Acute Medicine Spring Meeting 14th -15th April 2005
Marriott Hotel, Swindon

For this year’s spring meeting, the Society for Acute Medicine took us to Bournemouth on the sunny south coast of England. The Marsham Court Hotel served as an excellent venue for this, the ninth

(H Wallis)

· The following are indications for thrombolysis in a patient presenting within 12 hours of an episode of chest pain compatible with a myocardial infarct:
1. ST elevation

At last! A book that addresses the needs of every junior doctor faced with the management of acutely sick patients. Concise and readable, its format allows the reader to absorb the principles of human