Monthly Archives: March 2018

Itchy rashes

(from BMJ Learning module) Lichen planus Cause unknown, but does have an association with Hep C virus, so consider checking. The rash, like acute leg ischaemia, is described by 6 Ps: Planar (flat-topped) Polygonal Purple Pruritic Papules Plaques I knew … Continue reading

Posted in Dermatology | Leave a comment

Degenerative cervical myelopathy

This is the new name for the conditon formerly known as cervical spondylotic myelopathy, and is spinal cord dysfunction from compression in the neck due to degenerative change (disc herniation, ligament hypertrophy/ossification, osteophyte formation). Presentation Gradual onset and worsening of … Continue reading

Posted in Credits 2018, Don't miss, Neurology, Orthopaedics | Leave a comment

Cutaneous horns

I’ve just spent a bit of time refreshing my memory on these, after seeing a lesion I wasn’t sure about. After looking at several photos I do believe the patient I saw does have a small cutaneous horn, and the … Continue reading

Posted in Credits 2018, Dermatology, Skin lesions | Leave a comment

Slow initiation of warfarin protocol.

We’re all familiar with the usual 5mg warfarin initiation protocol (and many of us have distant memories of the 10-10-5 regimes started in hospital, or at least that’s what was being done when I was a junior doctor, back in … Continue reading

Posted in Anticoagulants, Credits 2018, Medication | Leave a comment