🧮Counting down the days with #excitement to the takeAIM's national conference in #Newcastle ! 🎉🚀🗓️ Every moment brings us closer to this gathering! Can't wait to share an incredible experience with everyone! 🌟💫✨🔥🎊🌈✨💖🙌🎈 #blessedexpress
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All are effective at⬇️symptoms of patients presenting with migraine. The lowest NNT for this list is subcutaneous sumatriptan, with a NNT of ~2 patients➡️most effective Tx by this metric
pubmed.ncbi.nlm.nih.gov/24865446/
theNNT.com website thennt.com has more + NICE guidance

#TakeAIMweeklycase (27)
This was a hair braid in the X-ray, doing a good impression of various pathologies (has caught me out before). CXR with hair out of the frame shown.

Chest pain resolved, a sinister cause was never found. D/C home.

More examples: radiopaedia.org/articles/hair-…

#TakeAIMweeklycase (26)
This is scrub typhus. Common in Thailand. Characteristic-looking lesion. Fever, headache & myalgia common. Too many systemic features for cutaneous leishmaniasis (and too soon) & rash not typical of Chikungunya or Lyme's. Tx usually doxycycline.

#TakeAIMweeklycase (25) Ocular #POCUS can be used to infer ICP (➡️not a perfect test for this). We're seeing papilloedema (protruding optic nerve) on US, rather than with fundoscopy. Optic nerve sheath diameter > 6mm also suggests high ICP, as in this case. Patient had a large SDH

SAM Webinar on Acute Neurology - tomorrow evening (21.3.24 19:30)

Free to SAM members, £15 for non-members

From Dr. Speakman: Covering epilepsy, status epilepticus & headache management.

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eventsforce.net/eventage/240/h…

#TakeAIMweeklycase (24)
Despite this 'positive' D-dimer, the probability of DVT-PE has actually⬇️. The ~500 cutoff is often considered a binary +ve/-ve. But the likelihood ratios for D-dimers 500-1000ng/mL are below one & do not⬆️the chance of DVT-PE. Refs in the original post.