9: Caring for patients harmed by treatment

Jun 24, 2017 by in GENERAL SURGERY Comments Off on 9: Caring for patients harmed by treatment

(ADAPTED FROM VINCENT, 2001) Mrs Long suffered a series of avoidable surgical complications over a period of several months which left her in considerable pain. Traumatic experiences, chronic pain and…

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1: Medical harm: a brief history

Jun 24, 2017 by in GENERAL SURGERY Comments Off on 1: Medical harm: a brief history

The cure can be worse than the disease Medicine has always been an inherently risky enterprise, the hopes of benefit and cure always linked to the possibility of harm. The…

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2: The emergence of patient safety

Jun 24, 2017 by in GENERAL SURGERY Comments Off on 2: The emergence of patient safety

Improving the quality of healthcare Unless substantial progress had been made in the understanding and practice of quality improvement, it is highly unlikely that the tougher issues underlying patient safety…

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Cardiology

Jun 24, 2017 by in GENERAL SURGERY Comments Off on Cardiology

A. Acute pericarditis; perform an echocardiogram in 1 week to confirm diagnosis B. Acute pericarditis; start a non-steroidal anti-inflammatory drug (NSAID) C. Acute pericarditis; start prednisolone D. ST elevation myocardial…

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Rheumatology

Jun 24, 2017 by in GENERAL SURGERY Comments Off on Rheumatology

Value Reference ranges Haemoglobin (g/L) 108 115–155 Creatinine (μmol/L) 210 60–100 C-reactive protein (mg/L) 80 <10 A. Systemic lupus erythematosus; anti-nuclear antibody (ANA) B. Post-streptococcal glomerulonephritis; anti-streptolysin O titre (ASOT)…

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Respiratory and sleep medicine

Jun 24, 2017 by in GENERAL SURGERY Comments Off on Respiratory and sleep medicine

ValueReference range pH7.477.35–7.45 PaCO2 (mmHg)4935–45 PaO2 (mmHg)5680–110 Bicarbonate (mmol/L)3322–35 Base excess8.8 Oxygen saturation (%)89>93 A. 33 B. 12 C. 56 D. 89 E. 8 12. Which one of the following…

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Nephrology

Jun 24, 2017 by in GENERAL SURGERY Comments Off on Nephrology

On examination he looks pale, his blood pressure is 98/68 mmHg and his pulse rate is 89 beats/min. His heart sounds are normal, but there are bilateral crackles on auscultation…

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General medicine, geriatric medicine and other topics

Jun 24, 2017 by in GENERAL SURGERY Comments Off on General medicine, geriatric medicine and other topics

ValueReference range Arterial pH7.507.35–7.45 Sodium (mmol/L)146137–145 Potassium (mmol/L)2.73.2–4.5 Bicarbonate (mmol/L)3726–35 Creatinine (μmol/L)9750–100 C-reactive protein (mg/L)2.1<10 Plasma renin (μIU/mL)2.17.0–50.0 33. A 48-year-old woman presents with headache, blurred vision and palpitations. She…

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