Monthly Archives: September 2017

Sports hernia

Yet another one (pretty much the last, for now) from the archives. This article comes from the BJGP of March 2013. ‘Sports hernia’ – also known as sportsman’s hernia, athletic pubalgia, and Gilmore’s groin – is not, in fact, a … Continue reading

Posted in Credits 2017, Orthopaedics, Sports medicine | 1 Comment

Remission of diabetes?

I’ve often wondered what happens if a diabetic person actually makes significant enough lifestyle changes to bring their blood glucose down into the non-diabetic range; since diabetes is diagnosed based on glucose levels, would this mean that this person had … Continue reading

Posted in Credits 2017, Diabetes, Endocrinology | Leave a comment

Snippets

Bits and bobs from the BMJ of 9th September: A systematic review in PLoS Medicine found gabapentin and pregabalin to be not particularly helpful with chronic low back pain; any benefits from them were outweighed by the risk of side-effects … Continue reading

Posted in Credits 2017, Medication | Leave a comment

Endometriosis

Some points from a recent BMJ article: A normal examination and pelvic USS don’t rule out endometriosis. On the other hand, they may not need to; in a lot of cases, you’re only going to be treating the symptoms anyway, … Continue reading

Posted in Credits 2017, Gynaecology | Leave a comment

COPD algorithm

This is our practice algorithm for COPD treatment: Treat intermittent symptoms with a SABA. If more severe, differentiate between low-risk and high-risk patients. Low-risk patients are those with: FEV1 >50% <2 exacerbations/yr For low-risk patients: First-line treatment: LAMA If symptoms … Continue reading

Posted in COPD, Credits 2017, Medication, Respiratory | Leave a comment

Refractory opioid-induced constipation

As anyone with even a smattering of palliative care knowledge should be aware, opiates typically cause constipation and a laxative should typically be co-prescribed. This week’s BMJ has a useful tip on what to do about opioid-induced constipation that is … Continue reading

Posted in Credits 2017, Medication, Palliative care | Leave a comment

Calcium supplements probably don’t work

Yet another one from the archives (I’ve almost cleared that journal pile now); a systematic review from 2015 looking at calcium and fractures. This review found: Dietary calcium intake is not associated with fracture risk There is no evidence that … Continue reading

Posted in Credits 2017, Medication, Osteoporosis | Leave a comment