Hey there! Sign in to join this conversationNew here? Join for free
    Offline

    14
    ReputationRep:
    Definately somewhere between the medium and dark, I really like the medium but the dark looks quite classy!
    Maybe have a few lighter bits put in and the sun will do the rest (once it comes out again!)?
    Offline

    14
    ReputationRep:
    Initially I thought for dark but I have revised my opinion and go for medium!
    Offline

    12
    ReputationRep:
    I like the medium.
    Offline

    14
    ReputationRep:
    Booooooooooooored. If another one of my patients doesn't turn up, Im'a flip!
    GP = LAME
    Offline

    19
    ReputationRep:
    (Original post by Smile88egc)
    Booooooooooooored. If another one of my patients doesn't turn up, Im'a flip!
    GP = LAME
    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...
    Offline

    14
    ReputationRep:
    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?
    Offline

    8
    ReputationRep:
    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!
    Offline

    14
    ReputationRep:
    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.
    Offline

    8
    ReputationRep:
    (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?
    Offline

    1
    ReputationRep:
    (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.
    Offline

    14
    ReputationRep:
    (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).
    Offline

    8
    ReputationRep:
    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?
    Offline

    14
    ReputationRep:
    (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?
    Offline

    19
    ReputationRep:
    (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.
    Offline

    8
    ReputationRep:
    (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...
    Offline

    14
    ReputationRep:
    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!)
    Offline

    16
    ReputationRep:
    (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?
    Offline

    8
    ReputationRep:
    From a surgeon today:

    "What are the two contraindications for a PR"

    Spoiler:
    Show

    a)No anus
    b)No fingers


    :rofl:
    Offline

    8
    ReputationRep:
    (Original post by Helenia)
    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.
    Thanks - appreciate the advice.

    I guess this is an occupational hazard for medics?
    Offline

    14
    ReputationRep:
    (Original post by lekky)
    what is it in reality?
    Well known and well used.
 
 
 
  • See more of what you like on The Student Room

    You can personalise what you see on TSR. Tell us a little about yourself to get started.

  • Poll
    Brussels sprouts
  • See more of what you like on The Student Room

    You can personalise what you see on TSR. Tell us a little about yourself to get started.

  • The Student Room, Get Revising and Marked by Teachers are trading names of The Student Room Group Ltd.

    Register Number: 04666380 (England and Wales), VAT No. 806 8067 22 Registered Office: International House, Queens Road, Brighton, BN1 3XE

    Quick reply
    Reputation gems: You get these gems as you gain rep from other members for making good contributions and giving helpful advice.