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14/04/2023

Cellulitis is an infection of the deep dermis and subcutaneous tissue. It causes a localised area of red, painful, swollen skin that is usually well demarcated. The most common site of infection is the lower limb.

Most common cause: Streptococcus pyogenes
Second most common cause: Staphylococcus aureus

Severity graded using Eron Classification 1-4:
• Grade 2 cellulitis or higher is classified as severe and hospital admission should be considered
• Cellulitis of the face is also considered severe

First-line treatment of non-severe cellulitis (Grade I & not on the face) is with Flucloxacillin 0.5-1.0g qds for 7 days total.
medics

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14/04/2023

“If you’re not willing to sacrifice for your dream, then your dream becomes your sacrifice.”
medics

13/04/2023

Nasopharyngeal carcinoma is a rare tumor arising from the epithelium of the nasopharynx. It accounts for approximately 1% of all childhood malignancies. It is commonly associated with EBV, where virally infected cells undergo malignant transformation.

Radiotherapy is the mainstay of treatment, with chemotherapy being used in advanced cases. Surgical treatment is often limited to a biopsy for tissue diagnosis. Nearly all tumors are unresectable at diagnosis because of their location.

The key features of nasopharyngeal cancer can be remembered with the mnemonic NOSE. Can you think of any other important symptoms that may be associated with the disease? 🤔

11/04/2023

The spleen plays an important role in filtering blood by removing old or damaged cells and debris, as well as helping the body fight infections. The spleen also stores white blood cells and platelets. An enlarged spleen is characterised as one that is larger than 12 cm (approximately 5 inches) in length or over 400 grams (approximately 14 ounces) in weight.

Massive splenomegaly refers to significant enlargement of the spleen, usually >20 cm in length or over 1 kg (approximately 2.2 lbs) in weight. In such cases, the spleen may cross the midline of the abdomen and extends toward the RLQ. Diseases that can cause such massive splenomegaly include various cancers, such as CML, myelofibrosis and splenic marginal zone lymphoma, as well as certain infections, such as malaria.

07/04/2023

If people are doubting how far you can go, go so far that you can’t hear them anymore.
- Michele Ruiz

07/04/2023

“All of our dreams can come true if we have the courage to pursue them.”
- Walt Disney

06/04/2023

Multiple myeloma is a malignancy of plasma cells in which monoclonal plasma cells proliferate in bone marrow resulting in:
• an overabundance of monoclonal paraprotein (M protein)
• destruction of bone
• displacement of other hematopoietic cell lines

Multiple myeloma can range from asymptomatic to severely symptomatic with complications requiring emergent treatment. The key features of the condition can be remembered with the mnemonic CRAB.

How do we treat these patients? 🤔

05/04/2023

This month we’ll be doing a crash course in respiratory disease where we will cover common acute scenarios in Respiratory Medicine ranging from PE and Pneumothorax to Acute Heart Failure. Everything will be discussed in relation to the UK NICE Clinical & Best Practice Guidelines and participants will receive lecture notes prior to attending the session.

With just over 3 weeks left to sign up, we’re running a special promotion where you can get up to 20% off when you sign up using the code: HAPPY10

If you’re a Junior Doctor looking to add to your portfolio or just want to improve your understanding of clinical medicine then sign up via the link in our bio.

The module belongs to our wider course on Acute Medicine - more information on the course can also be found at the link in our bio.

04/04/2023

Diarrhoea is a common complaint among hospital inpatients and its causes are many. Mostly it tends to be secondary to an underlying infectious or inflammatory process such as in viral gastroenteritis. However, there are a number of non-GI causes of diarrhoea to be familiar with.

The main causes have been summarised in the infographic above. Can you think of any more? 🤔

31/03/2023

“None of us want to be in calm waters all our lives.”
- Jane Austen

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