Acute Medical CasesDr Jack BondClinical Teaching FellowNov 2011Acute Medical Cases Notes | EduRev

Created by: Gagandeep Singh

: Acute Medical CasesDr Jack BondClinical Teaching FellowNov 2011Acute Medical Cases Notes | EduRev

 Page 1


Acute Medical Cases
Dr Jack Bond
Clinical Teaching Fellow
Nov 2011
Page 2


Acute Medical Cases
Dr Jack Bond
Clinical Teaching Fellow
Nov 2011
Aims
To introduce you to the presentation and initial 
management of:
• Obstructive airways disease
• Acute kidney injury
• GI bleed
Page 3


Acute Medical Cases
Dr Jack Bond
Clinical Teaching Fellow
Nov 2011
Aims
To introduce you to the presentation and initial 
management of:
• Obstructive airways disease
• Acute kidney injury
• GI bleed
Group work
• Divide into groups of 4-6
• Each group given a case
• Spend 10 minutes working through the case 
• Select a member of your group to present the case 
and management back to the whole group
Page 4


Acute Medical Cases
Dr Jack Bond
Clinical Teaching Fellow
Nov 2011
Aims
To introduce you to the presentation and initial 
management of:
• Obstructive airways disease
• Acute kidney injury
• GI bleed
Group work
• Divide into groups of 4-6
• Each group given a case
• Spend 10 minutes working through the case 
• Select a member of your group to present the case 
and management back to the whole group
COPD - Objectives
• Be able to diagnose COPD 
• Describe the initial management of COPD exacerbation
• List the indications/contraindications for NIV
• Understand set up and monitoring of NIV
• List complications associated with NIV
Page 5


Acute Medical Cases
Dr Jack Bond
Clinical Teaching Fellow
Nov 2011
Aims
To introduce you to the presentation and initial 
management of:
• Obstructive airways disease
• Acute kidney injury
• GI bleed
Group work
• Divide into groups of 4-6
• Each group given a case
• Spend 10 minutes working through the case 
• Select a member of your group to present the case 
and management back to the whole group
COPD - Objectives
• Be able to diagnose COPD 
• Describe the initial management of COPD exacerbation
• List the indications/contraindications for NIV
• Understand set up and monitoring of NIV
• List complications associated with NIV
Case 1
A 75 year old man attends his GP with breathlessness over 
the last 6 months. He has been coughing up phlegm most 
days for the last few months, but worse over the last few 
days. He has smoked 20 cigarettes a day for the past 30 
years. 
On examination, sats are 93% on air, RR 24, temp 38.3, 
BP 124/75, HR 85. The chest shows widespread wheeze 
throughout.
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