General Medicine 4 min read
Pleural Aspiration: What an Intern Needs to Understand Before Assisting
Anatomy, why ultrasound guidance became standard, how complications present, and why this is not a procedure to attempt unsupervised.
MBBS · NEET-PG · CLINICAL NOTES
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Notes, revision material and clinical references for MBBS students, interns and NEET-PG candidates — written from standard texts, organised by subject, and kept short enough to actually use between patients.
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General Medicine 4 min read
Escalating When You Are Worried and Nobody Else Is
The intern is often the first person to notice a patient is deteriorating and the least able to make anyone act. This…
General Medicine 5 min read
Breaking Bad News: What to Actually Say
Real sentences for the hardest conversation, why silence is a technique, and the phrases that land badly however kindly meant.
General Medicine 4 min read
Intravenous Fluids: Choosing Them and the Errors That Cause Harm
Fluids are prescribed more casually than any other drug and cause more avoidable harm than most.
General Medicine 4 min read
Nasogastric Tube Placement: The Confirmation Step That Prevents a Never Event
Misplaced feeding tubes kill people. The insertion is straightforward; the confirmation is the part that must never be improvised.
General Surgery 4 min read
Urinary Catheterisation: Consent, Asepsis and Knowing When Not To
The commonest avoidable hospital infection starts here, and the commonest reason is a catheter that was never needed.
General Medicine 4 min read
Peripheral IV Cannulation: Why the First Attempt Matters Most
Vein selection, the errors that cause failed attempts, and recognising extravasation before it causes injury.
General Medicine 4 min read
Venepuncture and Blood Cultures: Getting a Sample That Means Something
Why order of draw matters, what haemolyses a sample, and why a contaminated blood culture is worse than no blood culture.
General Medicine 4 min read
Recognising Anaphylaxis: The Decision That Cannot Wait
How anaphylaxis actually presents, why the diagnosis is clinical, and the two errors that cause preventable deaths.
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Alongside the notes there are clinical calculators used on the wards — gestational age, anti-rabies schedules, blood gas interpretation, Bishop and Apgar scoring, paediatric dosing and more — and a spaced-repetition revision deck.