Monthly Archives: March 2011

Testicular torsion

(Another one from one of the old issues – 31.7.10 – which I’m just working through.) This article was a rather frightening reminder of some non-obvious ways in which testicular torsion can present.  If I get a patient with acute-onset … Continue reading

Posted in Urology | Leave a comment

Alopecia areata

(From BMJ 31.7.2010 – I’m working my way through some old ones I didn’t make notes on at the time) Alopecia areata is an auto-immune disease, often associated with others such as vitiligo and thyroid disease.  Prognosis is variable – … Continue reading

Posted in Dermatology, Hair | Leave a comment

Deprivation of liberty

This is from an article published in the BMJ of 15th January, but was long and detailed enough to get its own post.  Deprivation of liberty and the various legal frameworks thereof form a brainmeltingly complicated subject of which it … Continue reading

Posted in Medicolegal, Psychiatry | Leave a comment

BMJ 2011; 342: 665 – 716 (26th March)

We may not have to chase blood pressure control as hard as we thought in patients with CKD (although convincing the QOF authors of that may be difficult).  Once we get BP down below 140/90, there seems to be little … Continue reading

Posted in BMJ, Nephrology | Leave a comment

BMJ 2011:342:607 – 664 (19th March)

A meta-analysis of treatments for generalised anxiety disorder shows the most effective to be fluoxetine and the most tolerable to be sertraline (at least, this was the one that was least likely to cause patients to drop out of each … Continue reading

Posted in BMJ, Cardiovascular, Psychiatry | Leave a comment

Prescriber 2011: 22(5) (5th March)

Lyme disease First off, bear in mind that it’s rare.  If anyone who’s just had a tick bite asks you whether they should get antibiotics just in case, advise them against it – in one study of 1000 tick bites, … Continue reading

Posted in Infectious Diseases, Prescriber | Leave a comment

BJGP March 2011

Be wary of leg pain in children with an acute illness.  It’s surprisingly specific for meningococcal disease.  Much more so, in fact, than headache, which is just as common in minor febrile infections as it is in meningococcal disease.  Less … Continue reading

Posted in Paediatrics, Psychiatry | Leave a comment