Urgent Bite 251 – Bitot’s Spots
Seeing Bitot’s spots is pathognomic of vitamin A deficiency.
Urgent Bite 250 – Swiss Cheese and Professor Reason
Professor James Reason was the originator of the Swiss Cheese model which has been an important model in developing ways to improve patient safety and reduce adverse events in healthcare.
Urgent Bite 249 – Sentinel headaches and SAH
What is a sentinel headache before a SAH and could they help us pick up earlier on a diagnosis in urgent care?
Urgent Bite 248 – Grommet extrusion time
How long do grommets take to fall out?
Urgent Bite 247 – The Vertebral Artery Dissection
You might think that neck pain after minor trauma is probably a musculoskeletal injury. But do not forget to consider vertebral artery dissection.
Urgent Bite 246 – The Holstein-Lewis Fracture
Look out for the Holstein-Lewis Fracture which is associated with radial nerve injury. Also, be aware of the torsional forces associated with arm wrestling.
Urgent Bite 245 – Neurapraxia
It is important to check peripheral neurology after trauma. Neurapraxia, with an o, is one cause of altered sensation.
Urgent Bite 244 – Is it a Fracture or a Break?
Are your patients aware that a fracture is the same as a break? Do they think that one is worse than the other?
Urgent Bite 243 – DKA with SGLT-2 inhibitors
Type 2 diabetics can present with a DKA associated with SGLT-2 inhibitors. And it may be euglycaemic. So be wary.
Urgent Bite 242 – Thinking about worms and abdominal pain
Pinworms are often asymptomatic, or cause mild pruritus ani, but do they cause abdominal pain?