September 14, 2026
When a negative dipstick misses proteinuria
Proteinuria needs quantification because dipsticks can miss albumin and ACR does not measure all urinary protein.
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Acute Medicine
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September 10, 2026
When liver tests mislead in cirrhosis
Modest transaminases can mask worsening function, while INR alone cannot define haemostatic balance in cirrhosis.
Read briefingAugust 31, 2026
Start acute speech assessment at hello
A precise bedside description separates focal language loss from problems with articulation, voice and attention.
Read briefingAugust 13, 2026
Superwarfarin bleeding, hyponatraemia, infantile spasms and PEs
Structured pulmonary embolism assessment and proportionate interpretation of complement-targeted myasthenia gravis evidence.
Read briefingJuly 29, 2026
Faltering weight, severe anaemia, ventilator secretions and hypertension prescribing
Faltering weight and profound chronic anaemia lead today’s clinical learning
Read briefingJuly 28, 2026
ARDS ventilation, pembrolizumab toxicity, chronic anaemia and PMDD
A busy day with ten epsiodes including lung-protective ARDS care and delayed checkpoint-inhibitor toxicity.
Read briefingJune 22, 2026
STEMI reperfusion, post-PE follow-up and paediatric ward safety
STEMI reperfusion timing, persistent symptoms after pulmonary embolism and safer ward care for young people in mental health crisis shape today’s briefing.
Read briefingMay 19, 2026
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Altered consciousness, in-flight emergencies and cancer screening
Low GCS with fever, dilated pupils or hypoxia needs airway support and toxidrome thinking before the label is fixed.
Read briefingMay 6, 2026
Hyperammonaemic encephalopathy, ICU delirium and refractory ventricular fibrillation
Vomiting with rapidly worsening confusion needs early ammonia testing before ICU delirium sedation and refractory ventricular fibrillation pad checks follow.
Read briefingMay 5, 2026
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Restrictive intake, post-TAVR sinus arrest and acute kidney injury
Restrictive intake needs medical stabilisation and capacity work, while AKI and post-TAVR pauses demand reassessment before reassurance.
Read briefingApril 14, 2026
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Pyelonephritis, postmenopausal bleeding and intermediate-risk pulmonary embolism
Start with pyelonephritis, then move to postmenopausal bleeding and intermediate-risk PE for three common presentations where one reassuring sign can mislead.
Read briefingApril 13, 2026
Ward arrests, refractory VF, porphyria and modern lithium use
Start with ward arrest leadership, then move to refractory VF, dark urine in porphyria, and lithium's modern place in mood disorders.
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