Monthly Archives: April 2011

Prescriber 2011: 22(8) (19th April)

Some useful figures related to URTIs.  Length of treatment of AOM should generally be five days; give AOM three days of not responding to antibiotic therapy before changing the antibiotic; and 80% of cases of sinusitis will improve spontaneously within … Continue reading

Posted in Elderly Medicine, Medication, Prescriber | Leave a comment

BMJ 2011: 342: 933 – 984 (30th April)

Another analysis showing increased MI risk in patients taking calcium supplements.  In this re-analysis of the WHI data, calcium supplements, whether with or without Vitamin D, increased the risk of both CVA or MI by about a fifth each.  As … Continue reading

Posted in BMJ, Contraception, Gynaecology, Impact, Liver | Leave a comment

BMJ 2011: 342: 883 – 932 (23rd April)

More useful stuff on testicles.  In this case, one article on testicular cancer and one on epididymo-orchitis.  The article on testicular cancer was mostly specialist stuff, but did contain the useful point that testicular cancer doesn’t necessarily present as an … Continue reading

Posted in BMJ, Testicular problems, Urology | Leave a comment

BMJ 2011; 342: 833 – 882 (16th April)

This issue’s main contribution to me was to disentangle a couple of points I’d struggled with from guidelines.   Firstly, NICE guidance on antiplatelet therapy post-CVA – I had a hell of a time recently trying to figure out whether I … Continue reading

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BMJ 2011; 342: 773 – 832 (9th April)

Not much in this issue, but one meta-analysis did bring the good news of a possible treatment in bronchiolitis – dexamethasone plus nebulised adrenaline showed benefit compared to placebo.  Still a way to go before we figure out the optimum … Continue reading

Posted in BMJ, Paediatrics | Leave a comment

BMJ 2011: 342: 717 – 772 (2nd April)

The main topic in this BMJ is investigation of weight loss in elderly people. What counts as significant weight loss? Generally, anything over 5% of body weight over 6 – 12 months, although smaller losses may be important in frail … Continue reading

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