CoreMed

Introduction Is a process that summarise the key issues about a patient’s condition It is the essential step before fully developing investigative strategy and a management plan Invariably as various… Read more »

“Patients can have as many diseases as they damn well please” John Hickam, MD. “Among competing hypotheses, the one with the fewest assumptions should be selected.” William of Ockham (c. 1287–1347)… Read more »

  The following guide can assist doctors working in Emergency Medicine to determine the scope of clinical knowledge required to function in this environment A clinical approach to any undifferentiated… Read more »

It is vitally important to be able to convey seriousness to another clinician SEVERITY ‘Moderately severe’ , ‘Severe’  e.g. Moderately severe UTI ‘In extremis’  e.g. APO presenting in extremis ‘Critical’… Read more »

INTRODUCTION Make the presentation flow. Use prose. Don’t give the spiel in monotone with no breaks and punctuation. Preface each new section with a brief pause and then a change… Read more »

OPENING/INTRODUCTORY SENTENCE Attempt to encapsulate the entire patient assessment in 1-2 sentences. Stable or unstable?  Mild/Moderately/Severely unwell? Total duration of illness and 1-3 key symptoms. Chronological progression – acute, chronic… Read more »

INTRODUCTION Can be verbal or in written form Identified as an event that regularly presents high risk-exposure to patient care Incomplete or misinterpreted information leads to delays in patient review, an… Read more »

ACUTE HEADACHE (this section does not consider traumatic causes of headache) Consider early CT brain if rapid onset of headache to rule out expanding space-occupying lesion particularly if there is… Read more »

There are a number of important causes of headache that may not be identified on plain CT brain. If there is remaining clinical suspicion other modalities such as CTA, CTV,… Read more »