Monthly Archives: August 2017

Some simplified neuroanatomy

After years of journals and on-line learning programmes it feels quite bizarrely retro to go back to a textbook, but that’s what I did; I’ve been thinking for a while that I really need to refresh my memory on the … Continue reading

Posted in Credits 2017, Neurology | Leave a comment

Treatment of chronic vertigo

There’s a useful article on the BMJ page right now, on chronic vertigo; apparently, first-line treatment for chronic vertigo is vestibular rehabilitation. This involves daily low-intensity exercises for 6 – 12 weeks to stimulate natural vestibular rehabilitation, and has been … Continue reading

Posted in Credits 2017, ENT, Vertigo | Leave a comment

Diagnosing Achilles tendon rupture

Another one from the archives; this one from the BJGP of December 2015. Acute Achilles tendon rupture is easily missed, since a patient may demonstrate all of the following on examination: Lack of a palpable gap in the tendon – … Continue reading

Posted in Credits 2017, Orthopaedics, Tendons | Leave a comment

Food allergy

(From Pulse Learning module) IgE-mediated food allergies will normally have skin and/or gastrointestinal symptoms. If neither of these are present, respiratory symptoms are unlikely to be due to an allergy. Symptoms come on within minutes and include: Urticaria (may be … Continue reading

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Normal lower limb variants in children

Another very useful one from the archives; a BMJ article from 2015 about which issues with children’s legs don’t have to be referred to orthopaedics. Always good to know. Possible normal lower limb variants Rotational: intoeing and outtoeing Angular: genu … Continue reading

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Diabetes in pregnancy

Affects approximately 5% of pregnant women, of whom over 80% have gestational diabetes and the rest had pre-existing DM of either type. Screening NICE recommends screening the following high-risk groups: BMI >30 Previous baby 4.5 kg or over Previous gestational … Continue reading

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Lab tests in chronic liver disease

ALT/ALP tend not to be very good markers; they reflect acute hepatocellular damage rather than cirrhosis. Normally what you see is: Low albumin Prolonged clotting times Low platelets (platelet sequestration in portal hypertension)

Posted in Investigations, Lab results, Liver | Leave a comment