Mind the Gap is a handbook of clinical signs in black and brown skins
Wear Gloves & Wash Your Hands!!!
There have been >100 patients identified as having MPox in the UK during the current outbreak. Most of these cases have been amongst men who have sex with men.
Reports have suggested that although lesions occur any where including palms and soles. Genital lessons and lymphadenopathy are very common
The following pathway will continue post-pandemic
InHours: Direct dial from HRI 152539, From CRH 2539.
Out of Hours: On Call Ophthalmology
We should no-longer be completing Email referrals to ophthalmology – if ophthalmology are insisting please contact Ruth Lush via switch who will fed back to staff.ED to Opthalmology COVID-19 Referral Pathway v2
Signs and Symps
No single feature is diagnostic:
- Single limb oedema – Most specific
- Leg pain – 50% but is nonspecific
- Calf pain on dorsiflexion of the foot (Homan’s sign)
- Tenderness of deep veins – 75% of patients
- Warmth AND/OR erythema (although blanching is possible)
- A palpable, indurated, cordlike, tender subcutaneous venous segment
Scombroid poisoning (AKA – Histamine fish poisoning) is apparently more common than we think and accounts for 40% of seafood related illness in the USA according to the CDC. But Scombriod poisoning is missed as its put down to allergy. Read more
Dental Abscess requires a Dentist for Definitive Treatment
- Dental Pain
- Unpleasant taste
- Fever and Malaise
- Facial Swelling
- Regional Lymphadenopathy
- Tooth Decay
- Gum Swelling or tenderness
- Purulent Exudate
Vertigo is not always labyrinthitis!! There are some potentially serious conditions to think about. Your main question should be is it peripheral [good] or central [bad]?
GCA is a is a vasculitis generally seen in the over 50’s and associated with polymyalgia rheumatic (PMR). However, unlike a lot of rheumatology, GCA is far from a benign condition that can be passed back to the GP’s, it can lead to some significant problems
- Sudden irreversible visual loss
- Development of thoracic aortic aneurysm