Monthly Archives: October 2017

Secondary post-partum haemorrhage

Blood loss of >500 ml for a vaginal birth or >1000 ml for a CS, between 24 hours and 12 weeks postpartum. Causes: Retained products or endometritis. Examination: Note that the uterus should not be palpable abdominally by day 14; … Continue reading

Posted in Credits 2017, Pregnancy and Childbirth | Leave a comment

Contraception in the perimenopause

DMPA and Sayana Press do cause decrease in bone density, but this is reversible and thus not considered an absolute contradiction to contraception over 45. Review every two years for other risk factors is advised. The FSRH do advise against … Continue reading

Posted in Gynaecology, Sexual health | Leave a comment

HRT and heart disease

Well, we have an update on the days of the Million Women Study (though it’s still a cool trial name). Much of the data available then were from women starting HRT in their mid-sixties, and this skewed the data. It … Continue reading

Posted in Gynaecology, HRT | Leave a comment

Shortening PFIs

Remember that some of the newer pills are designed to have shorter PFIs (known a little more accurately as HFIs; hormone-free intervals) by having more actual pills per packet – that way, it’s possible to shorten the PFI without also … Continue reading

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Dermatology revision

For the record, just went through this slideshow on emedicine. No particular notes, but very good practice to actually look at examples of the rashes now and again.

Posted in Credits 2017, Dermatology | Leave a comment

Management of paediatric hernia

BMJ review article: Umbilical hernias: Usually close spontaneously by the age of 4, and can be safely left to do so as complications are rare. However, spontaneous closure becomes less likely in children over 4, so if a hernia hasn’t … Continue reading

Posted in Credits 2017, Paediatrics, Surgery | Leave a comment

Arthroplasties – the post-op period

This BMJ article covers post-op management of shoulder, hip, or knee arthroplasty. A lot of this is obviously going to be managed by the surgical team in question, but there are invariably GP queries, so I thought it was worth … Continue reading

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