Brugada Syndrome

Brugada Syndrome is an ECG abnormality with a high incidence of sudden death in patients with structurally normal hearts. First described in 1992 by the Brugada brothers, the disease has since had an exponential rise in the numbers of cases reported. The mean age of sudden death is 41, with the age at diagnosis ranging... Continue Reading →

Chickenpox in Pregnancy

by Rachel Mackenzie, SSN, Practice Nurse Developer What is Chickenpox? Chickenpox is a very contagious infection caused by the varicella-zoster virus. It mainly affects kids, but adults can get it, too. The telltale sign of chickenpox is a super-itchy skin rash with red blisters. Over the course of several days, the blisters pop and start... Continue Reading →

Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis, also known as "Tennis Elbow", is the most common overuse syndrome in the elbow. It is a tendinopathy injury involving the extensor muscles of the forearm. These muscles originate on the lateral epicondylar region of the distal humerus. It should be remembered that only 5% of people suffering from tennis elbow relate the injury to tennis! ... Continue Reading →

3rd Degree Heart Block

3rd Degree Heart Block (Complete Heart Block) Overview In complete heart block, there is complete absence of AV conduction – none of the supraventricular impulses are conducted to the ventricles. This one minute video shows what is happening really well. A perfusing rhythm is maintained by a junctional or ventricular escape rhythm as Chris explained in the WhatsApp group. Failing this,... Continue Reading →

Maisonneuve Fracture

Maisonneuve fracture refers to a combination of a fracture of the proximal fibula together with an unstable ankle injury (widening of the ankle mortise on x-ray), often comprising ligamentous injury (distal tibiofibular syndesmosis, deltoid ligament) and/or fracture of the medial malleolus. It is caused by pronation external-rotation mechanism. This injury is highly unstable. Essentially all the ligaments and fascia... Continue Reading →

Mallet Finger

Commonly an athletic injury, mallet finger occurs when the distal phalanx of the finger is injured. Basketball and netball players often experience jammed fingers, but the injury can occur because of a crushing accident or even because of a laceration to the finger. With mallet finger, the extensor tendon on the back of the finger... Continue Reading →

Wellens Syndrome

Last week Valentino posted this ECG for discussion and talked about Wellens syndrome and how to spot it. Below is information taken from LITFL about the clinical significance of Wellens and what the diagnostic criteria are. Wellens syndrome is a pattern of deeply inverted or biphasic T waves in V2-3, which is highly specific for a critical... Continue Reading →

What is a ‘BM’?

This is an article by Mags Bannister, Diabetes Nurse Consultant, Bradford Teaching Hospitals NHS Foundation Trust in the Journal of Diabetes Nursing Volume 17 No 2 2013. It's a short, amusing read about the poor terminology we use! BM – the biggest misnomer in diabetes clinical practice The use of abbreviations in clinical records is... Continue Reading →

Compartment Syndrome

Compartment syndrome occurs when excessive pressure builds up inside an enclosed muscle space in the body. Compartment syndrome usually results from bleeding or swelling after an injury. The dangerously high pressure in compartment syndrome impedes the flow of blood to and from the affected tissues. It can be an emergency, requiring surgery to prevent permanent... Continue Reading →

Ectopic Pregnancy

An ectopic pregnancy is when a fertilised egg implants itself outside of the womb, usually in one of the fallopian tubes. Ectopic pregnancy affects one in every 80-100 pregnancies. It is a life-threatening condition and a gynaecological emergency. The incidence of ectopic pregnancy is rising due to the increased incidence of Chlamydia trachomatis. Most ectopic... Continue Reading →

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