Features suggesting VT rather than SVT with aberrant conduction:
-AV dissociation
-fusion or capture beats
-positive QRS concordance in chest leads
-marked left axis deviation
-history of IHD
-lack of response to adenosine or carotid sinus massage
-QRS > 160 ms
@PapaJohnsUK waiting over an hour and a half for order at BRISTOL - FILTON. The app just says that they are making the order (not in the oven yet?!). Where’s the order?
£66.55 for 3 full qualified and highly skilled doctors to save yours or a loved one’s life is an absolute disgrace!
With pay restored this would be:
10yr doc = £37.88
7yr doc = £33.09
1yr doc = £19.06
TOTAL = £90.03
We’re not asking the earth!
#JuniorDoctorsStrikes ✊🏼
Developers: you have one week to sign the building safety contract to fix unsafe buildings you are responsible for or you will be banned from operating in the housing market.
Conditions aside, remuneration for service is a major factor. Doctors are in demand and there is a global market for UK trained medics. If you cannot offer competitive market rates, they will seek opportunities elsewhere.
https://t.co/4IcjfVSFhY
What about the argument that all public sector workers are in the same boat? Well, this isn't true. Doctors have been disproportionately affected for a long period of time.
A 64-year-old woman w/hx of hypertension, rheumatoid arthritis & poorly controlled diabetes mellitus presented for evaluation of colour changes on her left foot. The lesion was initially small although it has gotten progressively bigger. What is the likely diagnosis? #medtwitter
A 65 year old man presents with weakness & inability to walk up a flight of stairs. Exam revealed a hyperpigmented rash. What is the diagnosis? (image: lancet) #MedTwitter https://t.co/XRoMG6OqO9