Monthly Archives: July 2017

BRONJ (bisphosphonate-related osteonecrosis of the jaw)

The latest BJGP carries an article about this. Recommended management from the GP point of view: Asymptomatic BRONJ (exposed bone with no pain or evidence of local infection): Routine max-facs referral Antimicrobial mouth rinse, such as chlorhexidine 0.12% Pain/evidence of … Continue reading

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The physiology of PCOS

Another one from the archives. This one is an article in the July 2014 JFPRHC explaining the physiology behind PCOS and our treatments, by W. Colin Duncan, clinical fellow and consultant in reproductive medicine at the University of Edinburgh. It’s … Continue reading

Posted in Credits 2017, Gynaecology | Leave a comment


I’ve been going through old journals, and found this useful article on urticaria in Prescriber 19.2.15, by Ruth Sabroe. As well as typical acute urticaria in response to viruses, medication, and who-knows-what, there are a number of what are called … Continue reading

Posted in Credits 2017, Dermatology, Immunology | Leave a comment

HPV vaccine

Few points from the latest BMJ article: The NHS programme currently only covers girls up to 18 years of age. 18 and over aren’t covered, but when I checked the Green Book I did note that it stated it to … Continue reading

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When Q waves are a normal variant

It seems I’ve been overdiagnosing past MIs on ECGs. A cardiologist has now sent me the helpful information that isolated Q waves in III are a variant of normal. Old inferior MI can only be diagnosed if there are Q … Continue reading

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Some interesting bits and bobs in the latest BMJ: The three most effective NSAIDs for hip and knee osteoarthritis appear to be, in descending order, diclofenac, etoricoxib, and rofecoxib. Now, of course, that’s of limited use, given the high risk … Continue reading

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