Well what do you know? Seems there might be some association between haemodialysis patients getting high serum manganese levels and imaging changes in the brain on T1-weighted MRI A Preliminary Study Revealing a New Association in Patients Undergoing Maintenance Hemodialysis: Manganism Symptoms and T1 Hyperintense Changes in the Basal Ganglia | American Journal of Neuroradiology
Read More »Fascinating paper by U-King-Im et al about the changes in the brain observed in hyperammonaemic encephalopathy during MRI. Acute Hyperammonemic Encephalopathy in Adults: Imaging Findings | American Journal of Neuroradiology
Read More »This calculator uses common variables to give estimates of mortality and need for intervention based on the Glasgow-Blatchford Score, the AIMS65 score and the MELD 3.0 score. Demographic Variables Age: 40 years (AIMS65, MELD) Sex (GBS) Male Female Historical Variables History of Hepatic Disease (GBS) No Yes Dialysis within 7 days (MELD) No Yes History […]
Read More »The approach is graphically summarised here. It’s based on Alex Yartsev‘s awe-inspiring Deranged Physiology post, as well as Cohen et al (2016), Lundy & Fischer (2010) and Evenson (2016). The final decision-loop ignores the third possibility, which is that the patient is stable enough to go on living with a chronically-discharging ECF. I had to draw the line […]
Read More »Opening statement: This is an immediately life-threatening condition where assessment and resuscitation occur simultaneously. Massive haematemesis is usually related to portal hypertension and oesophageal varices. Assessment History Examination Investigations Management Resuscitation Specific treatment Ongoing monitoring Supportive treatment
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