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BT_PO 1.82 Describe the pharmacology of diuretics including mannitol,...

aGasgal has already dealt with the other LO that relates to diuretics: BT PO 1.81 Outline a physiological basis of classifying diuretics related to their site of action This is also a fairly popular...

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BT_PM 1.4 Describe the physiological mechanism of progression from acute to...

aGasgal has previously posted on several occasions regarding BT PM 1.3 which is about the basic physiological mechanisms of pain. The next few LOs stay on the theme of pain physiology. Fortunately they...

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BT_PM 1.7 Outline the effects of pain and analgesia on injury-induced organ...

I freely admit I exclusively used the APM: Scientific Evidence for this LO. Section 1.6.3 on page 93 of the PDF file shares the title of this LO. The best part is it is only one page long and is...

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Can you pass the primary just using PLOOTD?

Probably. If you use it well.  

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Renal physiology BT PO 1.65 and 1.73

BT PO 1.65 Explain the mechanisms involved in the regulation of renal function BT PO 1.73 Describe the mechanisms involved in the maintenance of fluid and electrolyte balance To my mind these two LOs...

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BT_PO 1.70 Explain the renal responses to hypovolaemia

Several SAQs have been asked on this topic which is of obvious relevance to anaesthetists. It requires a sound understanding of renal sympathetic nerve activity, the mechanisms for autoregulation of...

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Mission accomplished!

Almost three years ago PLOOTD was conceived by one of my colleagues (his tag is PRIMARYLOS) with a mission to assist candidates in preparing for the primary examination. By means of a daily post it was...

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The top five posts for PLOOTD

Having achieved the herculean task of posting for every single learning objective for the Primary exam curriculum it is time to reflect on this body of work. I thought I might start with a post on the...

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A comedian walks into a bar

This clip from Radio National’s Ockham’s Razor https://www.abc.net.au/radionational/programs/ockhamsrazor/when-anaesthetists-cant-sleep/11187656 is well worth 11 minutes of your time if you have a viva...

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Another exam done and dusted

A quick post today to congratulate all of those candidates who presented for the viva exam in Melbourne over the past three days. It was lovely to speak with many of you after the exam at the...

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Covered Airway Techniques

In a break from our usual programming, here is a video on covered airway techniques. It is an extension of something that we used during SARS in Hong Kong. A fundamental principle in safety is that it...

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Circuit wash-in

BT_SQ 1.3 Breathing systems BT_GS 1.24 Inhalational agents – pharmacokinetics IT_AM 1.9 Preoxygenation This is a topic that crops up a bit in theatre “why have you adjusted the sevo and left the flows...

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More wash-in

BT_GS 1.24 Inhalational agents – pharmacokinetics In the previous post I asked you to consider wash-in to the circuit. (and thank you to the person who picked up the sloppy error in the document). In...

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2020.1 SAQ 1 Prolonged paralysis following suxamethonium

I was inspired when I saw an email from this blog arrive in my inbox last week. How are you all? It has been a long time since there has been much activity here and so much has happened in the...

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2020.1 SAQ 2 Antiseptic agents

If you saw yesterday’s post, this was the final destination. Almost deserted on a mid-winter’s morning (Preikestolen, Norway) Compare and contrast povidone iodine and alcoholic chlorhexidine as skin...

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2020.1 SAQ 3 Discrepancy between ETCO2 and PaCO2

Discuss possible causes for the PaCO2 differing from the ETCO2 in an anaesthetised, intubated patient on IPPV. Flåm, Norway Another core topic. I suspect that you think about this every time you look...

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2020.1 SAQ 4 CVS effects of inhalational anaesthetics

More Flåm Compare and contrast the effects of sevoflurane and nitrous oxide on the cardiovascular system. You need to have detailed knowledge of the volatile anaesthetic agents for obvious reasons....

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2020.1 SAQ 5 Placental gas exchange

The paediatric nature of this topic made me think of this Gingerbread village, Bergen Describe the mechanisms that facilitate oxygen and carbon dioxide exchange in the placenta. A bit of classic...

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2020.1 SAQ 6 Warfarin reversal

One of my favourite vehicles EVER! Describe how the effects of warfarin can be reversed when URGENT surgery is indicated (40%).  For each option discuss the advantages and disadvantages (60%). Despite...

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2020.1 SAQ 7 Volatile washout

I hope that you are not getting too sick of photos from Norway… Describe the washout of desflurane from a patient following six hours of general anaesthesia. Draw a graph to illustrate the...

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