[xXxBaby-BooxXx]

Getting up at 8 seems to lead to me falling asleep by half 4. I'm such a sleepyhead

[RollerBall]

(Original post by xXxBaby-BooxXx)
Getting up at 8 seems to lead to me falling asleep by half 4. I'm such a sleepyhead

I went to bed at 6am and woke up at 5pm. This lack of lectures is starting to screw me. I'm going to have to hard reset and stay up all night tonight I think.

[sweetchilli]

(Original post by Medicine Man)


??

Are you sure you meant to quote me on this?

No, it was Lekky I was meant to quote - soz...my bad! :

[sweetchilli]

(Original post by Philosoraptor)
Who failed? This is so confusing lol?

A guy who is in my year now as he is repeating.

[sweetchilli]

(Original post by digitalis)
Sounds like internet bull **** to be honest.

aye you are on the money internet BS is right! Always did like your straight-talking!

[sweetchilli]

on another note...any avid golfers among you? Won a doubles tie last pm 3 & 2 with a new doubles partner who is a superb golfer - off 9. All the better as the win against the one person in our club who thinks she is it... sweet victory! Wish I was anywhere near as good as golf partner but sadly naw...

[Beska]

Masters in Clinical Education looks like quite a useful/non-speciality specific intercalated degree to do.

[John Locke]

(Original post by digitalis)
I remember in the start of third year we were all scoffing at the Oxbridge transfers with their lack of clinical skills etc whilst we were all pros at taking a manual BP etc etc....

Was on my first firm with one of them, she jointly one the FY1 snickers award for best med student. (Guess who won the other one )

on the subject of which, how well do the transfers slot in?

[digitalis]

(Original post by John Locke)
on the subject of which, how well do the transfers slot in?

Very well. Very impressed indeed, they turned out to be some of the best students on the course. This was the first time when my 'early clinical contact is superior' thoughts got shaken.

[lekky]

Applying for full time jobs over summer in Glasgow -

if they are permanent jobs then im obviously going to be completely ruled out if i tell them im going to be leaving in september

i realise its a really dickish thing to do to just take all university stuff out of my CV (doesnt create a gap as employed at home from 2008-present) and not mentioning uni then quitting in september but considering doing it.. i am very desperate and there are very few jobs..

[carcinoma]

(Original post by Beska)
What do you mean?

Us neither... until we walk through the curtain.

When we were taught the skills in first year we were taught them separately, so were taught to you look for liver flaps and CO2 retention tremors ect. But never actually taught why/what causes it.

But when it actually came to doing the station for the exam, we just did everything rote form.

I know that was the point of the first year exams, it just seemed a little pointless.

Fortunately they never made us do full OSCE's in first year, just 4 individual stations scattered throughout the year. This year we are doing a full set of OSCE's to make sure were up to scratch for next year.

[digitalis]

(Original post by lekky)
Applying for full time jobs over summer in Glasgow -

if they are permanent jobs then im obviously going to be completely ruled out if i tell them im going to be leaving in september

i realise its a really dickish thing to do to just take all university stuff out of my CV (doesnt create a gap as employed at home from 2008-present) and not mentioning uni then quitting in september but considering doing it.. i am very desperate and there are very few jobs..

Make sure that you check what notice is required so you are not in breach of contract if you do decide to leave.

[Kinkerz]

(Original post by digitalis)
Very well. Very impressed indeed, they turned out to be some of the best students on the course. This was the first time when my 'early clinical contact is superior' thoughts got shaken.

One would hope that the powers-that-be would take heed of this data.

[Philosoraptor]

Oh my god - I only just woke up - had a massive long shift on Labour ward on Saturday overnight - saw a birth that failed to progress----> kiwi, stayed with another birth that did the same ---> forceps, then saw a caesarean on twins which took forever!! Then finally got my normal vaginal birth woot

Slightly problem is it's wrecked my sleep pattern :/

[Elwyn]

Wondering if any of you knowledgeable people can help me, I can't seem to find a reliable answer online or in any textbooks.

Is the blood pressure in the popliteal artery (or the lower limb in general) significantly higher (or maybe even lower) than in the brachial artery normally? I've been given a question about a case of aortic coarctation, it states brachial pressure is 156/94 and popliteal is 122/80. My current feeling is that the popliteal one is actually lower than it should be due to the coarcation, and that popliteal pulse should be significantly higher than brachial pulse in a healthy patient due to the effect of gravity. Is this right? Thanks for any replies.

[digitalis]

(Original post by Elwyn)
Wondering if any of you knowledgeable people can help me, I can't seem to find a reliable answer online or in any textbooks.

Is the blood pressure in the popliteal artery (or the lower limb in general) significantly higher (or maybe even lower) than in the brachial artery normally? I've been given a question about a case of aortic coarctation, it states brachial pressure is 156/94 and popliteal is 122/80. My current feeling is that the popliteal one is actually lower than it should be due to the coarcation, and that popliteal pulse should be significantly higher than brachial pulse in a healthy patient due to the effect of gravity. Is this right? Thanks for any replies.

No, gravity has nothing to do with BP.

The brachial pressure is higher than normal in coarctation. Picture a tube with a narrowing somewhere in it, this is the coarctation. Proximal to this narrowing, the BP will be higher. Distal to it, the BP will normalise. That's all you need to know

Oh and look for rib notching and Turners!

[Elwyn]

(Original post by digitalis)
No, gravity has nothing to do with BP.

The brachial pressure is higher than normal in coarctation. Picture a tube with a narrowing somewhere in it, this is the coarctation. Proximal to this narrowing, the BP will be higher. Distal to it, the BP will normalise. That's all you need to know

Oh and look for rib notching and Turners!

So 120/80 is normal for popliteal?

Thanks so much!

[digitalis]

(Original post by Elwyn)
So 120/80 is normal for popliteal?

Thanks so much!

Yup yup All your BPs should be the same.

Same reason you calculate an ankle-brachial pressure index! In theory, it should be 1:1!

[Elwyn]

(Original post by digitalis)
Yup yup All your BPs should be the same.

Same reason you calculate an ankle-brachial pressure index! In theory, it should be 1:1!

Ok thanks again!

It makes me sad to think I'm about to be a second year and didn't know that, it seems so obvious now

[John Locke]

you should read levick, the whole gravity effect on haemodynamics is an interesting topic where students make classic mistakes