Monthly Archives: February 2016

Back pain

Red flags for cauda equina compression syndrome Saddle or genital anaesthesia or altered sensation (and, after almost getting horribly caught out once, I will at least now remember forever after that THIS MAY PRESENT UNILATERALLY) Altered bladder, bowel, or sexual … Continue reading

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Rational prescribing

From our CCG’s review of evidence (Rational Prescribing, Sept 2015): On current evidence (which admittedly is somewhat limited), there is no statistically significant benefit from treating Stage 1 hypertension (160/100 or less) Aiming for an HbA1c level of 7.0% vs. … Continue reading

Posted in Credits 2016, Diabetes, Hypertension, Medication, Nephrology | Leave a comment

Useful points about Efudix

We’ve just been sent some information about Efudix use in general practice, and I wanted to write down the main points: If an area has multiple solar keratoses, the whole area (not just the individual keratoses) should be treated, as … Continue reading

Posted in Credits 2016, Dermatology, Skin lesions, Uncategorized | Leave a comment

Management of psychotropic drugs during pregnancy

Good news – it seems that many of the problems initially thought to be related to taking antidepressants during pregnancy (cardiac problems, autism) are, in fact, probably due to risk factors related to the underlying illness. Since psychiatric illness is … Continue reading

Posted in Credits 2016, Medication, Medication in pregnancy, Pregnancy and Childbirth, Psychiatry | Leave a comment

Stopping benzodiazepines

Interesting post in February’s BJGP – a three-arm RCT looked at how to persuade patients on long-term BZDs to stop. The group looked at were adults (18 – 80 yrs) who had used BZDs daily for at least six months … Continue reading

Posted in Addiction, BJGP, Credits 2016, Medication | Leave a comment