The answer to that question is much more complicated than most guidelines will lead you to believe.The headline statement recommending the use of antibiotics in this scenario has buried the evidence in multiple layers of interpretation. To get to the truth, we have to look at the lierature ferred to in the decision to make… via…
A rash is a very common feature of a paediatric presentation and is often the primary reason for seeking medical advice.I think that clinicians also sometimes feel a bit of anxiety about rashes. What does the rash mean? Should I be able to diagnose the illness based on the rash?The rash can be diagnostic but often……
twitter.com/jpchonline/status/1084254465220362240
This post is in response to a very specific question from a local GP. The question wasn’t about recognising croup or even about the best evidence based treatment. Recognising croup is fairly straightforward. There is pretty much consensus on the best management of croup. The question was about the practicalities.The evidence for the ideal management… via…
Recently I was speaking to a GP colleague about the ways to protect oneself from decision fatigue. Decision fatigue is a serious issue for anyone in a high volume, high turnover medical job. He had some great insights into the problem and the solutions.What are the effects of decision fatigue? In the short term, your… via…
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…
Worth a read. The deeper reasons why parents won’t vaccinate their kids. #FOAMedhttps://t.co/ruGR6MucK8 — Ian Miller (@theNursePath) February 4, 2017
MJA online exclusive: Burden of invasive infections in critically ill #Indigenous children in Australia #openaccess https://t.co/nmaiCBMqL6 pic.twitter.com/t3CFakwszr — MJA (@theMJA) January 29, 2017
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
