https://vicmarth.com/articles/how-to-read-a-chest-x-ray monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/85130d1a7_generated_image.png Clinician holding a chest radiograph against a lightbox for a systematic read How to read a chest X-ray: a fixed eight-step method https://vicmarth.com/articles/fluids-and-electrolytes-framework monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/d0b4e71eb_generated_image.png Intravenous crystalloid bags on a ward drip stand Fluids and electrolytes: a working framework https://vicmarth.com/articles/choosing-an-antibiotic-framework monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/b1163ae03_generated_image.png Nurse drawing up an antibiotic from a vial on a treatment trolley Choosing an antibiotic in the first 24 hours https://vicmarth.com/articles/answering-clinical-vignettes monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/176449879_generated_image.png Candidate working through a printed clinical vignette booklet Answering clinical vignettes under time pressure https://vicmarth.com/articles/a-focused-history-in-ten-minutes monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/1683424f0_generated_image.png Doctor taking a focused history from an elderly patient in a consulting room A focused history in ten minutes https://vicmarth.com/articles/liver-function-tests-in-context monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/87bedf52c_generated_image.png Biochemist lifting a rack of serum samples beside an automated analyser Interpreting liver function tests in context https://vicmarth.com/articles/revision-system-that-survives-long-shifts monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/f80f82f5a_generated_image.png Junior doctor revising flashcards in a hospital staff room before an early shift A revision system that survives long shifts https://vicmarth.com/articles/reading-an-ecg-in-ten-steps monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/fdba6f213_generated_image.png Printed ECG rhythm strip with calipers and a pen on a clinician's desk Reading an ECG in ten steps without missing the important bit https://vicmarth.com/articles/interpreting-an-arterial-blood-gas monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/d291fe99f_generated_image.png Anaesthetist holding an arterial blood gas syringe beside a blood gas analyser Interpreting an arterial blood gas in four moves https://vicmarth.com/articles/reading-a-full-blood-count monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/fcb30e794_generated_image.png Stained blood film slide being placed on a haematology microscope stage Reading a full blood count: patterns rather than numbers https://vicmarth.com/articles/interpreting-thyroid-function-tests monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/f3768b103_generated_image.png Clinician palpating the thyroid gland during a neck examination Interpreting thyroid function tests without over-diagnosing https://vicmarth.com/articles/urinalysis-and-the-urine-dipstick monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/5b438d7b2_generated_image.png Urine dipstick held against a colour reference chart on a laboratory bench Urinalysis: getting more out of a cheap test https://vicmarth.com/articles/recognising-sepsis-and-the-first-hour monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/69fd4f8f9_generated_image.png Clinician drawing blood cultures while a colleague hangs antibiotics in the emergency bay Recognising sepsis: what actually happens in the first hour https://vicmarth.com/articles/acute-kidney-injury-staging-and-workup monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/4c914fe20_generated_image.png Nurse checking a haemodialysis circuit with the dialyser in the foreground Acute kidney injury: staging, causes and the work-up that changes management https://vicmarth.com/articles/chest-pain-risk-stratification monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/a1ab76bda_generated_image.png Paramedic attaching ECG electrodes inside an ambulance beside a defibrillator Chest pain: a risk-stratification approach that holds up https://vicmarth.com/articles/acute-stroke-recognition-and-first-steps monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/1c7032bb6_generated_image.png Clinician pointing at an axial CT head slice in a stroke unit Acute stroke: recognition, timing and the first decisions https://vicmarth.com/articles/asthma-and-copd-exacerbations monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/2f1f87584_generated_image.png Inhaler in a spacer with a nebuliser mask and peak flow meter Acute asthma and COPD exacerbations: telling them apart, treating them well https://vicmarth.com/articles/the-abdominal-examination-sequence monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/e3a44300b_generated_image.png Clinician palpating a patient's abdomen on an examination couch The abdominal examination: a sequence that finds things https://vicmarth.com/articles/neurological-screening-examination monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/b7999ce74_generated_image.png Neurologist testing a knee reflex with a tendon hammer The screening neurological examination in six minutes https://vicmarth.com/articles/assessing-a-child-with-fever monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/81ff767e0_generated_image.png Paediatric nurse taking a toddler's temperature on a parent's lap Assessing a child with fever: age first, then the whole picture https://vicmarth.com/articles/classifying-and-investigating-anaemia monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/bc23641bd_generated_image.png Full blood count sample tubes beside a tray of stained blood film slides Anaemia: a classification you can actually use https://vicmarth.com/articles/coagulation-tests-and-bleeding monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/e87085fc6_generated_image.png Technologist loading citrated coagulation tubes into an automated analyser Coagulation tests: what they measure and what they miss https://vicmarth.com/articles/principles-of-starting-insulin monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/5e4d329bf_generated_image.png Patient demonstrating an insulin pen injection into the abdomen Starting insulin: the principles behind the regimen https://vicmarth.com/articles/prescribing-in-renal-impairment monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/73a5abf99_generated_image.png Pharmacist comparing a medicine carton with a tablet bottle at a dispensary bench Prescribing in renal impairment: a repeatable method https://vicmarth.com/articles/screening-for-drug-interactions monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/b6b6f1afa_generated_image.png Weekly pill organiser and medicine boxes laid out for a drug interaction screen Drug interactions: a screening method for real patients https://vicmarth.com/articles/medication-review-and-deprescribing monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/7e6d2e529_generated_image.png Bag of medicines tipped onto a GP's desk during a medication review Medication review: finding what should stop https://vicmarth.com/articles/principles-of-pain-management monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/2a3dd6e06_generated_image.png Nurse programming a patient-controlled analgesia pump at a bedside Pain management: principles, not recipes https://vicmarth.com/articles/exam-day-strategy-for-mcq-papers monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/9a12381a3_generated_image.png Exam desk with pencils, eraser, watch and candidate card Exam day on an MCQ paper: a strategy that survives the stress https://vicmarth.com/articles/osce-station-strategy monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/ddec39011_generated_image.png Candidate taking a history at an OSCE station OSCE stations: structure, and what examiners actually mark https://vicmarth.com/articles/active-recall-that-actually-works monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/26e3ccf40_generated_image.png Student writing recalled answers on a blank sheet beside a closed textbook Active recall: what it is, and how to do it properly https://vicmarth.com/articles/reviewing-a-question-bank-properly monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/868035013_generated_image.png Student annotating a printed question set with a notebook of corrections How to review a question bank so it changes your score https://vicmarth.com/articles/spaced-repetition-without-the-perfect-system monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/c3bbb0281_generated_image.png Stack of handwritten spaced-repetition index cards on a windowsill Spaced repetition without the perfect system https://vicmarth.com/articles/appraising-a-clinical-trial-in-ten-minutes monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/eebdef55e_generated_image.png Clinician highlighting a printed trial report with a forest plot Appraising a clinical trial in ten minutes https://vicmarth.com/articles/sensitivity-specificity-and-predictive-values monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/f3688fe6d_generated_image.png Rapid diagnostic test cassette showing two result lines Sensitivity, specificity and the number that actually matters https://vicmarth.com/articles/safe-handover-and-clinical-documentation monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/f692fb152_generated_image.png Two doctors handing over a patient list at a night nursing station Handover and documentation: the parts of care nobody grades https://vicmarth.com/articles/breaking-bad-news-structure monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/47bc93634_generated_image.png Doctor and patient seated in a quiet family room with tissues on the table Breaking bad news: a structure you can use under pressure https://vicmarth.com/articles/sleep-shift-work-and-clinical-performance monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/a44b72121_generated_image.png Doctor walking an empty hospital corridor at three in the morning Sleep, shift work and clinical performance https://vicmarth.com/articles/usmle-step-2-ck-study-schedule-that-works monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/7ea495fa8_generated_image.png Medical student's desk with a marked calendar and stethoscope while planning Step 2 CK How to build a USMLE Step 2 CK study schedule that survives real life https://vicmarth.com/articles/empirical-antibiotic-prescribing-framework monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/260e7df51_generated_image.png Microbiology technologist holding blood culture bottles beside agar plates Empirical antibiotic prescribing: the four decisions before the first dose https://vicmarth.com/articles/deteriorating-patient-first-five-minutes monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/ef7c9e82e_generated_image.png Resuscitation bay at night with a monitor showing waveforms and a bag-valve mask The deteriorating patient: the first five minutes on the ward https://vicmarth.com/articles/postoperative-ileus-versus-bowel-obstruction-ultrasound monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/4cb463e19_generated_image.png Bedside ultrasound of a postoperative abdomen with distended bowel loops on screen Early postoperative bowel obstruction or prolonged ileus: a bedside ultrasound method https://vicmarth.com/articles/bilateral-internal-iliac-artery-aneurysms-repair monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/3f4473e6a_generated_image.png Vascular surgeon reviewing a 3D CT angiography reconstruction of the pelvic arteries Isolated bilateral internal iliac artery aneurysms: planning a repair https://vicmarth.com/articles/refractory-hypocalcaemia-after-thyroidectomy monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/7eb0b737c_generated_image.png Surgeon checking a neck dressing and drain after thyroidectomy Refractory hypocalcaemia after thyroidectomy: what to check next https://vicmarth.com/articles/ethics-and-medical-jurisprudence-exams monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/0256a7166_generated_image.png Consent form, pen and stethoscope beside a closed law textbook Ethics and medical jurisprudence in postgraduate board exams https://vicmarth.com/articles/gram-stain-and-organism-identification-charts monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/76fd7c8b5_generated_image.png Microbiologist examining a purple Gram-stained slide beside a microscope Gram stain and organism identification charts: reading them instead of memorising them https://vicmarth.com/articles/commotio-cordis-chest-impact-cardiac-arrest monthly0.9 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/ab0f83bb9_generated_image.png Defibrillator and first-aid bag on the grass beside a floodlit football pitch Commotio cordis: how a blow to the chest stops a healthy heart https://vicmarth.com/articles/traumatic-coronary-artery-dissection-steering-wheel monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/267c06829_generated_image.png Deformed steering wheel and airbag with an ECG strip held after a collision Traumatic coronary dissection: the steering wheel that causes an infarct https://vicmarth.com/articles/delayed-electrical-storm-myocardial-contusion monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/11b43134d_generated_image.png Monitor showing ventricular tachycardia beside a bruised chest wall in intensive care Delayed electrical storm after pulmonary contusion and myocardial contusion https://vicmarth.com/articles/traumatic-aortic-isthmus-pseudoaneurysm-syncope monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/d3614f3b2_generated_image.png Gated CT angiogram of the aortic isthmus showing a contained pseudoaneurysm Traumatic aortic isthmus pseudoaneurysm presenting as recurrent syncope https://vicmarth.com/articles/subepicardial-fat-necrosis-mimicking-pericarditis monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/ca055476c_generated_image.png Chest CT showing a fat-density lesion with stranding beside the pericardium Subepicardial fat necrosis mimicking acute pericarditis https://vicmarth.com/articles/coronary-microvascular-dysfunction-post-prandial-epigastric-pain-athletes monthly0.7 https://vicmarth.com/articles/arvc-vs-exercise-rvot-obstruction-marathon-runners monthly0.7 https://vicmarth.com/articles/alcapa-adult-incidental-diagnosis-sudden-cardiac-death-risk 2026-11-06 monthly0.8 https://vicmarth.com/articles/mechanical-heart-valve-non-cirrhotic-portal-vein-thrombosis 2026-11-06 monthly0.8 https://vicmarth.com/articles/refractory-vasospasm-cabg-skeletonized-gastroepiploic-artery 2026-11-06 monthly0.8 https://vicmarth.com/articles/persistent-bronchopleural-fistula-radiation-chest-wall-necrosis 2026-11-06 monthly0.8 https://vicmarth.com/articles/single-lung-ventilation-bullous-emphysema-contralateral-vats 2026-11-06 monthly0.8 https://vicmarth.com/articles/traction-bronchiectasis-after-tracheoesophageal-fistula-repair-adults 2026-11-06 monthly0.8 https://vicmarth.com/articles/paradoxical-vocal-cord-motion-vs-tracheal-stenosis-after-cardiac-surgery 2026-11-06 monthly0.8 https://vicmarth.com/articles/chylopericardium-after-congenital-cardiac-surgery-infants 2026-11-06 monthly0.8 https://vicmarth.com/articles/dieulafoy-lesion-roux-en-y-hepaticojejunostomy-obscure-gi-bleeding 2026-11-06 monthly0.8 https://vicmarth.com/articles/chronic-radiation-proctitis-refractory-hyperbaric-oxygen-argon-plasma-coagulation 2026-11-06 monthly0.8 https://vicmarth.com/articles/congenital-paraduodenal-hernia-pregnancy-laparoscopic-closed-loop-obstruction 2026-11-06 monthly0.8 https://vicmarth.com/articles/short-bowel-syndrome-parenteral-nutrition-liver-disease-hyperoxaluria 2026-11-06 monthly0.8 https://vicmarth.com/articles/recurrent-internal-hernia-after-gastric-bypass-petersen-space 2026-11-06 monthly0.8 https://vicmarth.com/articles/penile-scrotal-calciphylaxis-end-stage-renal-disease-normal-pth 2026-11-06 monthly0.8 https://vicmarth.com/articles/laparoscopic-pyeloplasty-horseshoe-kidney-crossing-vessels-nephrolithiasis 2026-11-06 monthly0.8 https://vicmarth.com/articles/refractory-post-transplant-erythrocytosis-mtor-inhibitor-contraindicated 2026-11-06 monthly0.8 https://vicmarth.com/articles/loin-pain-haematuria-syndrome-after-failed-renal-denervation 2026-11-06 monthly0.8 https://vicmarth.com/articles/giant-xanthogranulomatous-pyelonephritis-duodenum-ivc-robot-nephrectomy 2026-11-06 monthly0.8 https://vicmarth.com/articles/infected-nonunion-proximal-femur-masquelet-multidrug-resistant 2026-11-06 monthly0.8 https://vicmarth.com/articles/compartment-syndrome-of-the-foot-crush-injury-diabetic 2026-11-06 monthly0.8 https://vicmarth.com/articles/bilateral-anterior-shoulder-dislocation-engaging-hill-sachs 2026-11-06 monthly0.8 https://vicmarth.com/articles/proximal-humerus-chondrosarcoma-3d-printed-spacer-reconstruction 2026-11-06 monthly0.8 https://vicmarth.com/articles/complex-regional-pain-syndrome-after-elbow-arthrolysis 2026-11-06 monthly0.8 https://vicmarth.com/articles/cervical-ectopic-caesarean-scar-placenta-accreta-spectrum 2026-11-06 monthly0.8 https://vicmarth.com/articles/radical-trachelectomy-severe-endometriosis-cervical-cancer 2026-11-06 monthly0.8 https://vicmarth.com/articles/aggressive-angiomyxoma-vulvovaginal-recurrence 2026-11-06 monthly0.8 https://vicmarth.com/articles/ovarian-remnant-syndrome-ureteral-tunnel 2026-11-06 monthly0.8 https://vicmarth.com/articles/uterine-rupture-second-trimester-laparoscopic-myomectomy-morcellation 2026-11-06 monthly0.8 https://vicmarth.com/articles/silent-mediastinal-emphysema-post-intubation-chest-radiograph monthly0.7 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/6bada05cb_generated_image.png Chest radiograph showing a thin line of mediastinal air after intubation Silent mediastinal emphysema on the post-intubation film https://vicmarth.com/articles/pseudo-coarctation-versus-true-aortic-coarctation-computed-tomography monthly0.7 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/23dfe3bba_generated_image.png Radiologist measuring the aortic isthmus on a curved CT reconstruction Pseudo-coarctation or true coarctation on multi-slice CT https://vicmarth.com/articles/cabg-graft-length-hypertrophic-cardiomyopathy-distorted-epicardial-geometry 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/bed5ed793_generated_image.png Surgeon holding an internal mammary pedicle during coronary bypass Graft length in a hypertrophied, distorted ventricle https://vicmarth.com/articles/intraoperative-heparin-resistance-emergency-thoracic-aortic-repair-chronic-anticoagulation 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/ce593d0c9_generated_image.png Perfusionist checking an activated clotting time beside a heart-lung machine Heparin resistance during emergency thoracic aortic repair https://vicmarth.com/articles/acute-subclavian-steal-iatrogenic-arteriovenous-dialysis-access 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/3eeaf0f0e_generated_image.png Nurse assessing a forearm dialysis fistula with a vascular surgeon Subclavian steal caused by ipsilateral arteriovenous access https://vicmarth.com/articles/acute-intraoperative-brain-swelling-unruptured-mca-aneurysm-clipping 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/20924a0f3_generated_image.png Neurosurgeon operating through a craniotomy for aneurysm clipping Acute brain swelling during clipping of an unruptured aneurysm https://vicmarth.com/articles/postoperative-spinal-epidural-haematoma-after-lumbar-decompression 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/8be67ba53_generated_image.png Surgeon testing ankle power at the bedside on a spinal ward Postoperative spinal epidural haematoma after lumbar decompression https://vicmarth.com/articles/csf-rhinorrhoea-after-endoscopic-transsphenoidal-pituitary-surgery 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/8ebcef215_generated_image.png Surgeon handing a clear fluid sample tube to a scrub nurse during transsphenoidal surgery CSF rhinorrhoea after endoscopic transsphenoidal pituitary surgery https://vicmarth.com/articles/periprosthetic-distal-femur-fracture-above-total-knee-replacement 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/086da3a6c_generated_image.png Registrar reviewing a radiograph at the bedside of an elderly patient with a deformed thigh Periprosthetic distal femur fracture above a total knee replacement https://vicmarth.com/articles/anastomotic-leak-after-low-anterior-resection-recognition-and-management 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/c3d504047_generated_image.png Registrar examining a postoperative patient with a laparotomy dressing and stoma Anastomotic leak after low anterior resection https://vicmarth.com/articles/bile-duct-injury-during-laparoscopic-cholecystectomy-recognition-and-timing-of-repair 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/12394927d_generated_image.png Hepatobiliary surgeon and radiologist reviewing a cholangiogram and biliary drain Bile duct injury at laparoscopic cholecystectomy https://vicmarth.com/articles/vesicovaginal-fistula-after-hysterectomy-diagnosis-and-repair 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/6181887cf_generated_image.png Urogynaecology team performing a vaginal fistula repair in theatre Vesicovaginal fistula after hysterectomy https://vicmarth.com/articles/massive-haemoptysis-airway-management-and-bronchial-artery-embolisation 2026-11-06 monthly0.8 https://media.base44.com/images/public/6a9563865fdfba8ab52d3899/e1a76e2d2_generated_image.png Interventional radiologist and respiratory consultant at a bronchoscopy trolley during a haemoptysis call Massive haemoptysis: airway first, then bronchial artery embolisation 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