Author Archives: Dr Sarah

About Dr Sarah

I'm a GP with a husband and two young children.

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

Recovery after laparascopic surgery

Pain: Abdominal cramps and bloating, and shoulder tip pain, are common in the first 24 hours. Worsening pain after this period can be a sign of complications. Other symptoms of complications: Loss of appetite for food or fluids, reluctance to … Continue reading

Posted in Credits 2018, Surgery | Leave a comment

Prophylaxis of recurrent UTI in women

Background: No official definition, but generally defined by most people as two or more episodes in six months or three or more per year. The only recommended prophylactic treatment currently is low-dose prophylactic antibiotics, which, based on one systematic review/meta-analysis, … Continue reading

Posted in Credits 2018, Recurrent UTIs | Leave a comment

Migraine in pregnancy

The good news is that pre-existing migraine often gets better in pregnancy, especially migraine without aura and premenstrual migraine. However, it’s important to know a) how to treat it when it occurs and b) how to avoid confusing more dangerous … Continue reading

Posted in Credits 2018, Medication in pregnancy, Migraine, Pregnancy and Childbirth | Leave a comment