Nightmares in children

Standing outside a house that has seen too many years you wonder how you got here. Soil baked dry by a hundred summer suns tickles over your toes as you look down. No shoes! Why don’t you have any shoes on? The brown dirt crumbles between your toes as you take a single step forward,… via…

Rashes algorithm

General practice can be challenging for medical students and young students because they have not been ‘exposed’ to many rashes. Even GPs who have many years experience can occassionally be stumped. Here is a great algorithm/flowchart available from Patient.co.uk which can help us discern the likely causes – Link

FOAM4GP Map – Grumbly Grommets

Clinical Case: “Doctor, I want to have a referral to an ENT. Sophie keeps getting ear infections and I was told by a friend that grommets will help.” I get questions like these (or similar) quite regularly as there seems to be quite a push from local GPs to refer to ENT early for grommets.…