Monthly Archives: October 2011

BMJ 2011: 343: 855 – 912 (29th October)

A quickie this time: Yoga (viniyoga) and stretching both improve mild/moderate chronic low back pain (by about 1 point on an 11-point scale).  Neither seems particularly better than the other.

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Prescriber 2011 22(19), 5th October

Two useful articles about diabetes. Antidiabetic drugs in renal dysfunction Metformin: Confusing because the summary of product characteristics advise it shouldn’t be used below 60 ml/min creatinine clearance, but NICE advises using it until creatinine clearance drops below 30 ml/min … Continue reading

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A handout with GP had a list of what all those obscure-sounding ingredients in emollients are actually all about, which I thought might be useful: Chlorhexidine: Reduces bacterial load (and bacteria can’t develop resistance to it.  Resistance is futile.  Bwah-ha-ha-ha-ha-ha-ha). … Continue reading

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BMJ 2011: 343: 753 – 802 (15th Oct)

I’d heard of actinomyces, of course, because of them showing up on smears from time to time and causing quick shuffles through Google for whatever the hell the guidelines were, but I never really knew anything else about them.  They … Continue reading

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Antidepressants and sexual dysfunction

This comes from an article I found while clearing out: Kennedy SH & Rizvi S., Sexual Dysfunction, Depression, and the Impact of Antidepressants.  Journal of Clinical Psychopharmacology 2009; 29: 157 – 163.  Since we tend to think of N&V as … Continue reading

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Indications for ophthalmological referral are: Recurrent cases (routine) Bilateral cases (routine) Severe pain (urgent) Visual loss (doesn’t say) Also look for any symptoms of connective tissue/systemic disease, in which case referral should be to a rheumatologist. The eyeball should not … Continue reading

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Differential diagnosis of hip pain

Pain over the anterior part of the thigh/around the groin can be from the femoral nerve, which can be caused by problems with the third and fourth lumbar segments.  To diagnose this, do a spinal examination and the femoral nerve … Continue reading

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BMJ 2011: 343: 703 – 752 (8th October)

I was unsurprised to find that Naproxen is not entirely innocent in the whole Infarctiongate scandal of the NSAIDs.  It is, however, the lowest risk NSAID from the CV point of view.  Ibuprofen makes it into second place.  Diclofenac is … Continue reading

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