Monthly Archives: November 2017

Ear conditions

Exostoses: overgrowths of bone in the external ear canal; they present as whitish lumps narrowing the canal. They are particularly common in people who spend a lot of time swimming in cold water. They can obstruct wax or cause hearing … Continue reading

Posted in ENT | Leave a comment

BP control before surgery

A reference in the latest BJGP has just answered a question I’ve been meaning to look into; how good a blood pressure control do we need to aim for in patients we’re referring for surgery? Not as strict as I’d … Continue reading

Posted in BJGP, Credits 2017, Hypertension, Surgery | Leave a comment

Steroids for sore throats

An update on this problem: a systematic review and meta-analysis in the BMJ. This found that there is, in fact, moderate quality evidence that a one-off dose of steroid can improve pain in sore throat. Not the speed with which … Continue reading

Posted in Credits 2017, Medication, Minor but annoying | Leave a comment

Shingles infectivity

After having a case of shingles and two more suspected cases (which turned out not to be) at the care home where I work, I thought it might be useful to put together a protocol for staff. I posted this … Continue reading

Posted in Credits 2017, DENs, Infectious Diseases | Leave a comment