Day 1 - A&E

Slightly erratic at the start, but things got better later in the day. With almost zero-experience, the tiniest case admitted sparked my interest and caught me feeling inquisitive. The first case witnessed involved (today's theme: poisoning):

Organophosphate poisoning-malathion, I believe
Ah, chemical warfare. I think the doctor mentioned this was a suicidal attempt (quite obviously), and being cautious of the possibility of chemical aging (I presume the patient had delayed admission), atropine alone solved the problem. He did mention the clear parasympathetic symptoms, bronchorrhea (hypersecretion with excessive ACh), and an exception, sweating (excessive neurotransmitters).

Gastric lavage followed by administration of activated charcoal via nasogastric tube. The following case observed was similar, anti-psychotic poisoning-believed to be lamotrigine.

Major take-home lesson: Methods of dealing with poisoning and observing the common symptoms of these two types belonging to the umbrella theme.

The Bhutanese bloke doing his masters in EM also elaborated on an ECG showing lateral ischaemia, and mentioned other cardiac markers such as CKMB and troponin levels as possible diagnostic tests. He introduced aortic dissection to me and explained the possible appearance of an X-ray scan showing widening of the mediastinum and hints of pleural effusion as well as the plausible obliteration of the aortic knob.

That's hardly anything, but I'm certain there's more to come and that I'll learn more. Hardly did much besides cleaning up some emesis remains and giving the patient a change of clothes.