Mx Pearls
In a paediatric anaphylaxis, what is the dose of adrenaline?
Adrenaline 0.01 ml/kg, using a 1mL syringe to draw it up straight from the vial that usually contains 1mg in 1 mL (1:1000).
e.g. 10kg child = 0.1 mL.
40kg child = 0.4 mL
Study Topic Ideas

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For investigations, consider the indications for ordering the test and the key findings for common or critical conditions.
In addition to managing the key diagnoses related to each of the presenting problems above, here are some examples of key management issues to think about.
  • Acute analgesia edit
  • Advanced Life Support edit
  • AED edit
  • Basic Life Support edit
  • Burn dressings edit
  • C-spine immobilisation edit
  • Child rehydration edit
  • Digital nerve block edit
  • Doctor’s bag medications edit
  • Emergency sedation of acute psychosis edit
  • Epipens edit
  • Head tilt / jaw thrust edit
  • IM injection edit
  • Laceration repair edit
  • Medical Alerts edit
  • Paediatric adrenaline dose edit
  • Recognition of sick child edit
  • SHAVED edit
  • Venepuncture edit
For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management. This list is by no means exhaustive, but here are a few assorted diagnoses to consider.
  • Acute myocardial infarction edit
  • Acute pulmonary oedema edit
  • Anaphylaxis edit
  • Aortic dissection edit
  • Epiglottitis edit
  • Meningococcal infection edit
  • Pericardial tamponade edit
  • Pneumothorax edit
  • Pulmonary embolism edit
Foundation topics like anatomy, physiology and embryology are not the main focus of GP fellowship exams. The following are examples of topics that may be useful for quizzing any medical students you are supervising:
  • Australian spiders edit
  • Australian venomous snakes edit
  • AVPU edit
  • GCS edit
  • Reversible causes of arrest: 4 Hs and 4 Ts edit
  • Shockable arrest rhythms edit
  • Types of shock edit
Medical students may be more focused on learning basic definitions, aetiology and pathophysiology of specific diagnoses, but registrars need to focus more on clinical problem solving. For each common presenting problem, consider what would be the red flag features, the most common differentials, as well as the most dangerous and most often missed (see Murtagh for more information on this model). For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management.
Medicine is nebulous with many conditions that arise infrequently in General Practice. These topics are not the main focus of college exams but nonetheless might occasionally appear - just as they can appear in your consultation room on a Friday afternoon. Other topics are so controversial that they are very difficult to examine. Here are some examples of topics that should not be the main focus of your study.

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