Monthly Archives: January 2016

The role of nutritional supplements

BMI should ideally be over 20. BMI 18.5 – 20 indicates that nutritional stores are already low or even depleted; this therefore scores 1 on the MUST score (which combines BMI with amount of weight loss and presence/absence of acute … Continue reading

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Sarcomas

There are five red flag features of soft tissue sarcomas: Pain Increase in size Size >5 cm (‘bigger than a golf ball’) Deep to the deep fascia Recurrence of a swelling after surgical excision Suspected sarcomas should be referred as … Continue reading

Posted in Lumps and Bumps, Uncategorized | Leave a comment

Palpitations – when to refer

This week’s CPD unit in the BMJ was on palpitations. Looking through it, I saw that the things I would do for history, examination, and basic investigations matched with what the article advised, so it looks as though I’m managing … Continue reading

Posted in Cardiovascular, Credits 2016 | Leave a comment

Pulmonary fibrosis

Causes include: chemical or dust inflammation idiopathic (idiopathic pulmonary fibrosis or cryptogenic fibrosing alveolitis) local fibrosis from infection or infarction various congenital syndromes – neurofibromatosis, Gaucher’s disease, Niemann-Pick disease, tuberous sclerosis. various acquired inflammatory conditions – RA, AS, Sjogren’s, systemic … Continue reading

Posted in Credits 2016, Respiratory, Uncategorized | Leave a comment

Exercise-induced bronchoconstriction in adults

This is transient constriction of the lower airways induced by vigorous exercise, and may or may not be associated by asthma. It is no longer referred to as ‘exercise-induced asthma’. It is caused by dehydration of the respiratory mucosa, due … Continue reading

Posted in Credits 2016, Respiratory, Uncategorized | Leave a comment

Chronic refractory cough

Known by other names (chronic idiopathic cough, unexplained chronic cough), it is defined as: A cough that persists despite specialist guideline treatment. This of course means it is a diagnosis of exclusion. It is either one form of cough hypersensitivity … Continue reading

Posted in Credits 2016, Respiratory, Uncategorized | Leave a comment