Look at the normal side first

  We are blessed with two of many aspects of our anatomy – legs, eyes, nostrils and nipples to name the four most important. (maybe not…) This comes in very handy when trying to identify anomalies, as one can simply compare the pathological side with the normal one. Look at the normal side first in orderContinue reading “Look at the normal side first”

Ask your patient what they want

You as the expert clinician with multiple years of dedicated training under your belt may be incredibly confident that you know what the patient needs, but they know what they want. Usually what your patient wants is rapid, painless recovery, which you usually aren’t able to give them, however just being able to express it to someoneContinue reading “Ask your patient what they want”

Reassess, reassess, reassess

Medicine is an evolving, mobile and fluctuant creature. It is never finished, and neither is your assessment of your patient. What it is not: See patient, diagnose, start treatment What it is: See patient, form likely differential, begin most useful treatment, reassess, tweak and alter treatment to optimise response, reassess, reassess, reassess! The old ABCDEContinue reading “Reassess, reassess, reassess”

Inspection, inspection, inspection

One of my favourite things about medicine is that you can get your Sherlock on and deduce vast amounts of information without uttering a word. Look at the surroundings. Look at your patient. Do they look unwell? What have they got with them?  I was once asked by an incredibly charismatic neurosurgeon to examine a childContinue reading “Inspection, inspection, inspection”