Respiratory Medicine in Dundee
Ask DundeeChest
The old DundeeChest site spawned the AskDundeeChest website, back in the day. The students found it useful, I think. So I’ll set up another one on here.
Post a comment if you have a question, and I can answer the query on the main blog.
As Ron Pickering used to say……. “Away You Go”
Hi,
Does this also apply for the second years’ exam result?’
Thank you
Yes.
new BT sasthma guidelines for your guidelines page
http://www.sign.ac.uk/pdf/qrg101.pdf
Hi,
I’m going over interstitial lung disease and can’t quite figure out the differences between some of them.
Am I right in thinking that COP appears multifocally in the small airways, causes granuloma formation (or just inflammation?) but little fibrosis and thus preserves the lung architecture;
and that IPF is diffuse, interstitial fibrosis caused by a similar inflammation but inability to resolve it. this destroys the architecture.
the first responds well to steroids the other does not
I just want to clarify if i’m right or wrong, and if there’s anything else that’s important in ILD that i should know
thanks
First of all – try not to get too hung up on ILD. It’s very complex, and very much a post-graduate sub-speciality interest.
You should think of ILD as 4 major separate entities:
1. Associated with systemic illnesses – usually connective tissue disorders
2. Sarcoidosis
3. Hypersensitivity pneumonitis – EAA, drug reactions
4. Idiopathic pulmonary fibrosis
There are a variety of idiopathic pulmonary fibrosis sub-classifications:
Cryptogenic Organising Pneumonia
Desquamative Interstitial Pneumonia
Respiratory Bronchiolitis Interstitial Lung Disease
Non-Specific Interstitial Pneumonia
Bronchiolitis Obliterans Organising Pneumonia
Usual Interstitial Pneumonitis
I really wouldn’t get too caught up with the sub classifications.
Some of the ILDs are steroid responsive (sarcoid, HP, COP, NSIP) and others are mainly unresponsive (BOOP, RBILD, UIP). If you are interested in respiratory medicine, and ILD in particular, you can look at the BTS 2008 guideline on ILD, and the ATS reclassification of ILD subtypes.
Thanks-
I have also been going over ABGs and am a little confused as to the difference between type II respiratory failure and respiratory acidosis. (I’m not entirely sure if resp failure and acid/base disturbances should be considered as part of the same group or two different things that can be applied to ABG results).
We also had an example of a man with chronic Ulcerative colitis and an acute episode of diarrhoea (<48hrs). I couldn't understand which (acute/chronic) diarrhoea causes an acidosis or an alkalosis (alkalosis was mentioned in the discussion but I don't understand how that would be an option?)
Sorry for the ramble, stuart
Type 2 respiratory failure is hypoxia and hypercarbia, this ultimately leads to respiratory acidosis. If the respiratory failure is chronic there can be metabolic compensation. So type 2 respiratory failure can be associated with acidosis, or not.
Diarrhoea and high output fistulas are a cause of metabolic acidosis with a normal anion gap.
I understand that you lead an OSCE debrief last week with a presentation, was wondering if it would be possible to put that presentation on DundeeChest
Thanks
You having a fantasy football league this year?
Yup
Register at fantasy.premierleague.com
Then join the league with the code:
925928-224811
DC
THis is a technical question about the site really. I run a website for the Scottish HIV and AIDS group (shivag.co.uk), and in a few years will be retiring. The existing site is written in ASP.NET and C# so will be hard for anyone to take over and I’m thinking of transferring to WordPress. My question is – did you manage to persuade Dundee Uni to host your site, or is it commercially hosted? Have you had any help from the hospital or Uni, or do you think a commercial host is the best way to go? I would love to hear your experience of using WordPress as well
Thanks – David
Hi David
Sorry for the delay in responding.
This site is commercially hosted (pretty cheap, I think it was £100 for 3 years), with registration of the URL included in the price. The Uni supported me in so much as they told the students about the site! After the success of this site we moved the whole of the medical school’s VLE to wordpress – you can visit it here: http://medblogs.wordpress.com
The new Dundeechest site (4.0) is hosted on the university servers, along with Dundee”everything else”.
WordPress has been fine – loads of plug ins, loads of help on line, and really easy to use.
I also use WordPress to run http://www.scottishthoracicsociety.co.uk too.
Good luck. If you want to chat about this, SHIVAG’s very own Tony France knows who I am, so he can put you in touch with me!
DC