Monthly Archives: July 2019

Cannabinoid hyperemesis syndrome

Interesting new one in the BMJ this week; Apparently a complication of regular cannabis use (where ‘regular’ apparently seems to mean ‘at least once weekly’) is the development of cyclic nausea/vomiting/abdominal painĀ  which, bizarrely, leads the sufferer to take compulsive … Continue reading

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Depression management

Some interesting points in this BMJ article about depression management: For mild depression (symptoms fairly manageable), appropriate routes for initial treatment include active monitoring (seeing them at intervals and discussing problems), exercise, and guided self-help. If this isn’t helping, other … Continue reading

Posted in Credits 2019, Psychiatry | Leave a comment

Diagnosing tremor

I wanted to brush up on my knowledge here, so I checked out the BMJ Learning module on Parkinson’s diagnosis, which led me to this BMJ article. I also had to look for more details on some of the points, … Continue reading

Posted in Credits 2019, Neurology | Leave a comment

Back pain – NICE guidelines

This is the BMJ Learning module I started when I was trying to look up red flags for back pain; as promised, I’ve now gone back to finish the module. Guidelines recommend using the STarTBack questionnaire for identifying risk of … Continue reading

Posted in Back pain, Musculoskeletal | Leave a comment

NNTs/ARRs for secondary prevention of cardiovascular events

The other day, I had one of those “Do I really need all these pills, Doctor?” questions that requires a grey-area conversation about risk reduction. Anyway, in medical terms the information needed is “What is the NNT for each of … Continue reading

Posted in Cardiovascular, Credits 2019, DENs | Leave a comment

Temporal arteritis

Some notes: Not everyone gets headache. 4% of sufferers have a normal ESR. Biopsy can show false negatives. Constitutional symptoms (fever, sweats, weight loss/anorexia, fatigue) are common; but do consider other causes (infection, malignancy). Visual symptoms can affect part of … Continue reading

Posted in Credits 2019, Don't miss, Rheumatology | Leave a comment

Avascular necrosis of the femoral head

Pathogenesis of AVNFH isn’t known, but it occurs when the microcirculation of the femoral head is disrupted, leading to necrosis and eventual subchondral collapse of the femoral head (with consequent secondary arthritis). Incidence is around 1 in 50 000. It … Continue reading

Posted in Credits 2019, Don't miss, Joints, Orthopaedics | Leave a comment