Monthly Archives: November 2016


A few quick snippets from the 19th Nov BMJ: Duloxetine increases the risk of adverse psychiatric events – anxiety, agitation, self-harm, psychotic behaviour – by more than five times, according to a new Nordic Cochrane Centre meta-analysis although this article … Continue reading

Posted in Incontinence, Ligaments, Medication, Minor but annoying | Leave a comment

Treatment of pregnancy-induced nausea

Today, I was prescribing for a pregnant woman with vomiting and thought it worth checking what the latest recommendations were. According to the RCOG guidelines, the two main classes of drugs recommended are: Antihistamines Phenothiazines (e.g. prochlorperazine) (If neither does … Continue reading

Posted in Credits 2016, Gynaecology | Leave a comment

Diagnosing aura

When are migraine-associated visual symptoms an aura, and when are they not? Most of the time it doesn’t matter, but it becomes of vital importance when assessing a woman’s suitability for oestrogen-containing contraception. Fortunately, the JFPRHC has just published an … Continue reading

Posted in Contraception, Credits 2016 | Leave a comment


Usually self-limiting problem, with infection being the most common cause. History Timing, frequency, duration, fresh or old blood Risk factors for STI Symptoms of UTI Recent urological investigations/interventions Anything to suggest bleeding probs Travel history – TB and schistosomiasis can … Continue reading

Posted in Credits 2016, Urology | Leave a comment

Anal itching

Not the nicest of topics, but, since it is one I often get asked about, I was glad to see a BMJ article on it. Thoughts: Most of the causes are things I’d have thought of (thrombosed piles, fungal infection, … Continue reading

Posted in Credits 2016, Minor but annoying, Uncategorized | Leave a comment

Diabetes presentation

Went to the practice clinical meeting, which was about diabetes this time and mainly focused on new diabetes drugs, as well as going over the NICE guidelines. The meds covered were incretin-based therapies (GLT-1 agonists and DPP-4 inhibitors) which I … Continue reading

Posted in Diabetes, Medication | Leave a comment