New Ask DundeeChest Site!

The Ask DundeeChest page on the DundeeChest has grown too big to be useful in it’s current format.  It’s not searchable, and is difficult to maintain.  So it’s morphed into a new entity!

It is now a nested blog, nested into DundeeChest, but also a standalone blog in its own right.  It’s much easier for me to maintain, and answer your questions in a more manageable manner.

There is a snag, of course.  You need to register with this blog to be able to post a question on the blog.  This is really not difficult – after letting me know you want to ask questions, you log into your wordpress account, click “New Post”, and put up your question on AskDundeeChest.  I’ll answer, and that’s that.

If you want to ask a question, reply to this post, and I can make you a contributor.  If you’ve asked a question on the old page, I’ll register you right now.  If you asked a question before, but used a pseudonym, I can’t sort you out, so please register again.

If you want to ask an anonymous question, there’s a page for that in here too….

Wedge infarcts on CXR

Looking over Peer tutoring for the resp system…

“48 year old female with ovarian carcinoma presents to A+E with 12 hr history of haemoptysis. She also complains of dyspnoea and pleuritic chest pain. On examination she is apyrexial and has a right sided pleural rub. CXR shows a wedge shaped infarct peripherally on the right but is otherwise normal.”

So im thinking this is PE. My question is, in what cases would you see the ‘wedged shaped infarct’ Im guessing in most cases, this CXR sign is absent at PE presentation and thats part of the reason VQ scans etc are performed? Is the sign reliant on time of presentation ( i.e. length of time following infarct ) or also the size?

Thanks

Laura

Thirsty Kirsty Asks

Hi!
I was wondering if it might be possible for DundeeChest to tell us what the reference ranges for ABGs are. There are so many different numbers out there and I’m not sure what the reference ranges for ABGs in the exam (but ultimately in Ninewells/Tayside) actually are.
Thanks.

Reporting findings of Resp exam…

Hey,

I was wondering if someone might be willing to draft a mock report of respiratory examination findings and post if for us to look at? Im currently writing up a RoCE and it would be good to see how a grown up doctor does it! : ) I’ve reported my findings according to the order in which I examined noting signs from inspection / palpation / percussion / auscultation but would like to see how best to report important signs, both positive and negative findings? Also, a look at how to accurately draw diagrams again would be helpful?

Is this something Dundeechest could help with? Or maybe something we could look at in the ‘tie it all together session’

Thanks

Laura

The table I was talking about

Respiratory Table

Here is the table please feel free to change it. I am not very good with computers so please do as you will. May be add in a section for fibrosis. does anyone know how to add in links for CXRs and links to videos of chest sounds ect. I have hinted were they might be in the table

Josh

AM King Asks….

Sorry but I’m not very good at ‘blogs’ and couldn’t work out how to leave an anonymous question, so just going to leave one here if that’s alright:

Just wondering if there are going to be any more formatives put up for week 3 or 4, or a whole block formative at some point?
Also, the answers to the true and false questions in the study have been put up…But I don’t think it includes answers to the long answer questions on pathology and the like. Although maybe I jsut didn’t see them.

Thanks for all your help!

Also – are interstitial and occupational lung disease the same thing?

Marge Asks Another Question…

TB question that I can’t find the answer to in my notes – I’m a bit confused about latent TB. Can you diagnose it reliably (I know you can Heaf test, but also that that gives false positives and false negatives)? And would you treat it, or just monitor and then treat if the patient progresses to post-primary TB?

Marge asks..

On the old askdundeechest page Marge asked this:

Another pathology tutorial complaint/question! We (A1&A2) didn’t get a tutor for our tutorial either, and when someone went to the medical school office to check we were told that we hadn’t been scheduled to have a tutor. I think we’re all a bit dischuffed that some people have had the benefit of small group tuition and others haven’t. I know you’ve said above that you don’t have control over this, but I suspect that All-Powerful Consultants complaining has a bit more weight than mere medical students 

The question part – would it be possible to get the answers to the pathology tutorial? We had a look at the questions as a group, and we were ok with most of them, but I think there were a couple where we were unsure.