TSR Med Students&#x27; Society Part III

Initially I thought for dark but I have revised my opinion and go for medium!

I like the medium.

Booooooooooooored. If another one of my patients doesn't turn up, Im'a flip!
GP = LAME :frown:

Reply 2444

Helenia

20

Original post by Smile88egc

Booooooooooooored. If another one of my patients doesn't turn up, Im'a flip!
GP = LAME :frown:

I quite like it when I get DNAs :o:

My main concern this afternoon (no patients, doing admin) is that my room smells strange, and I can't work out where it's coming from or what exactly the smell is. Normally it's because of my patients - it's a tiny room so if they've been smoking or are...less than hygienic, it gets pretty close in here - but no patients this afternoon, so...

Reply 2445

Smile88egc

15

I wouldn't mind DNAs if I were busy, but my practice are giving me half hour appointments, and surgery starts at 3pm after a 2 1/2 hour lunch break in a middle-of-nowhere town where there's nothing to do! Im going bonkers!
I do sympathise with your odour problem, my GPs are at least a bit swish and I have lovely aircon to breeze away the patient smell. Have you checked that the bins have been changed....or that no'ones left any....specimens...about?

Reply 2446

Woody.

12

I'm having some difficulty with some lung anatomy revision - if anyone could clear things up it'd be much appreciated!

Is the visceral pleura synonymous with the outer layer of the lung? Or does the visceral pleura 'fuse' with it?

If this isn't the case, does visceral pleura 'wrap around' all of the alveolar sacs in the lung? If not, why don't alveoli collapse upon breathing out?

I think my confusion arises as visceral pleura is drawn typically as a straight line 'around' the lung, but I can't make sense of what I'm learning if that's how it truly is.

Thanks!

Reply 2447

Mushi_master

As far as I remember it's essentially a membranous lining that wraps around the outer surface of the lung - it's not synonymous with the outer layer.

In other news - spent my whole day off sorting the garden and putting a fence up, feel quite productive.

Reply 2448

Woody.

12

Original post by Mushi_master

As far as I remember it's essentially a membranous lining that wraps around the outer surface of the lung - it's not synonymous with the outer layer.

In other news - spent my whole day off sorting the garden and putting a fence up, feel quite productive.

Thanks for your response, but if that's true, then what's the 'stuff' or 'parenchyma', I suppose, that covers the alveoli, and lasts to the outer border of the lung?

Reply 2449

ilovehotchocolate

8

Original post by Woody.

I'm having some difficulty with some lung anatomy revision - if anyone could clear things up it'd be much appreciated!

Is the visceral pleura synonymous with the outer layer of the lung? Or does the visceral pleura 'fuse' with it?

If this isn't the case, does visceral pleura 'wrap around' all of the alveolar sacs in the lung? If not, why don't alveoli collapse upon breathing out?

I think my confusion arises as visceral pleura is drawn typically as a straight line 'around' the lung, but I can't make sense of what I'm learning if that's how it truly is.

Thanks!

The way I understood it there were two layers of pleura that surround the lungs, the visceral pleura first and then a parietal pleura and they both fuse with the lung membrane at the hilum of the lungs where the bronchi come in. I believe the external membrane of the lungs is not the same as the internal membrane of the visceral pleura. Serous fluid helps the two slide over each other. Alveoli don't collapse because of surface tension and surfactant, which is why prem babies get respiratory distress syndrome and start grunting a little while after birth, because they haven't begun to make surfactant yet.

Reply 2450

Mushi_master

Original post by Woody.

Thanks for your response, but if that's true, then what's the 'stuff' or 'parenchyma', I suppose, that covers the alveoli, and lasts to the outer border of the lung?

AFAIK the parenchyma ends with the alveoli, with the visceral pleura attached to it as the outer membrane of the lung (but not exactly the outer layer of the parenchyma itself).

Reply 2451

Quick MDT - mate rang me up for medical advice ( :rolleyes:

) and one of his mates went heavily drinking 2 days ago and now feels dreadful with stomach pain. I'm thinking he should go to A&E for ?pancreatitis.

Any thoughts?

Reply 2452

Renal

Original post by Captain Crash

Quick MDT - mate rang me up for medical advice ( :rolleyes:

) and one of his mates went heavily drinking 2 days ago and now feels dreadful with stomach pain. I'm thinking he should go to A&E for ?pancreatitis.

Any thoughts?

What's heavy drinking, how many hundred units?

Reply 2453

Helenia

20

Original post by Captain Crash

Quick MDT - mate rang me up for medical advice ( :rolleyes:

) and one of his mates went heavily drinking 2 days ago and now feels dreadful with stomach pain. I'm thinking he should go to A&E for ?pancreatitis.

Any thoughts?

If you're unsure, that's safest - or at least OOH GP if it can't wait till morning. May be making a mountain out of a molehill but if you can't see him yourself and it's really terrible enough for them to be phoning random medic friends, it's best to err on the side of caution.

Reply 2454

Original post by Renal

What's heavy drinking, how many hundred units?

12 hours drinking....

Just spoken to him - abdo pain radiating to back.

Told him to go to A&E on the safe side...

Reply 2455

Renal

BBC 10 o'clock news is chatting about 'revolutionary' oesophageal doppler and how it's helping people leave hospital earlier? ****ting hell, that's some seriously good PR by UCLH (and Deltex!)

Reply 2456

lekky

19

Original post by Renal

BBC 10 o'clock news is chatting about 'revolutionary' oesophageal doppler and how it's helping people leave hospital earlier? ****ting hell, that's some seriously good PR by UCLH (and Deltex!)

what is it in reality?

Reply 2457

From a surgeon today:

"What are the two contraindications for a PR"

Spoiler

Reply 2458