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Spinal Injury: The Evidence Behind the Pathway
Who the Indian spinal injury patient is, what the Canadian C-spine rule was tested against, what the trial of early decompression found, why hypotension with a…
Dizziness and Vertigo: The Evidence Behind the Pathway
Why the word the patient uses is the wrong place to start, why an abnormal head impulse is good news, where the HINTS figures came from,…
Neuro-Infections: The Evidence Behind the Pathway
Why the commonest cause of fever with confusion in an Indian adult is the one the national sheet does not treat, why the first dose comes…
Bronchial Asthma: The Evidence Behind the Pathway
Why the blue inhaler alone was retired, why a LABA never travels alone, why the diagnosis is tested before it is written, and how large the…
Gout and Hyperuricaemia: The Evidence Behind the Pathway
Why a raised urate on a health check is not a reason to start a drug, what the allopurinol and febuxostat trials found, why the dal…
Upper GI Bleeding: The Evidence Behind the Pathway
Why the Glasgow-Blatchford score answers a different question from the other two, why less blood and later endoscopy are better, why tranexamic acid left the ward,…
Ataxia: The Evidence Behind the Pathway
Three systems, one sign: how the examination localises an ataxia, which causes can be treated, which genetic test to send first in India, and the studies…
FIB-4 and Elastography: The Evidence Behind the Thresholds
Where FIB-4 and APRI came from, why age changes the answer, what a stiffness reading can and cannot tell you, and every threshold side by side:…
