Monthly Archives: January 2015


In response to a DEN that came up with a patient’s results, I’ve been refreshing my memory on the causes of macrocytosis. Briefly, these are: Physiological – macrocytosis is normal in pregnancy (usually mild but not impossible for it to … Continue reading

Posted in Credits 2015, Haematology, Lab results | Leave a comment


Hypocalcaemia is mild if 1.9 or higher, severe below. Mild hypocalcaemia is usually asymptomatic and can be treated with a follow-up within the next 7 – 10 days, with giving supplements (including Vitamin D if needed), and with consideration of … Continue reading

Posted in Clinical biochemistry, Lab results | Leave a comment

Things to know about thyroid tests

Patients with unrelated severe illness can have temporarily hypothyroid-looking tests; TFTs should therefore not be checked during acute illness. (This occurs due to a combination of inhibition of the hypothalamic-pituitary axis decreasing TSH secretion; decreased T4 -> T3 conversion; and … Continue reading

Posted in Endocrinology, Lab results, Thyroid, Uncategorized | Leave a comment


(The notes below are a summary of an article I clipped from one of the medical newspapers many years ago, which is apparently an extract from Practical General Practice 2006. The reference given is Scully C et al, What to … Continue reading

Posted in Credits 2015, Minor but annoying | Leave a comment

Anticholinergic Burden Scale

BMJ’s Minerva, source of useful little tidbits, has another one; a mention of a recent article in Age and Aging analysing the association between anticholinergic burden of drugs and mortality/CV disease, in the >40s. The article found an association on … Continue reading

Posted in Credits 2015, Elderly Medicine, Medication | Leave a comment