Author Archives: Dr Sarah

About Dr Sarah

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

Reflux in infants

(BMJ 2017;357:j1802, supplemented by checking the original guidance) Not to be referred to as GORD unless the symptoms are interfering with the baby’s quality of life or causing complications (poor weight gain, difficulty sleeping, recurrent chest infections). Otherwise, it’s physiological … Continue reading

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

Chondrodermatis nodularis helicis

I just checked some photos and confirmed my suspicions that this is what one of my patients has, so am making some notes on the advice: Main thing is to avoid pressure on the ear during sleep. Cutting a hole … Continue reading

Posted in Credits 2017, Dermatology, Skin lesions | Leave a comment

Huntington’s disease

(BMJ module; information from Dr David Crawford, consultant in neuropsychiatric genetics at St Mary’s, Manchester. Module chosen as I have a patient with Huntington’s who is developing increasing problems.) Huntington’s causes a combination of progressive motor, cognitive, and psychiatric symptoms. … Continue reading

Posted in Neurology | Leave a comment

Postponing menstruation, and amenorrhoea with contraception

Like most GPs, I’ve happily dished out prescriptions for norethisterone when a woman wanted to postpone her period, on a basis of hey, what harm can it do? More than I thought, it turns out; according to an article in … Continue reading

Posted in Credits 2017, Gynaecology, JFPRHC | Leave a comment

Bits and bobs

Useful bunch of motley learning points from the 15th April BMJ: A double-blind trial reported in NEJM has looked at the effects of treating borderline thyroid results (raised TSH with normal T4) in the elderly. It didn’t show any benefit … Continue reading

Posted in BMJ, Cardiovascular, Credits 2017, Endocrinology, Hypertension, Medication, Paediatrics, Thyroid | Leave a comment

Hip protectors

Several of the residents at the care home where I work have recently suffered falls, and one enthusiastic young staff member raised the issue of whether hip protectors would be helpful. Which was a very good question. I vaguely remember … Continue reading

Posted in Credits 2017, Elderly Medicine | Leave a comment

Spondyloarthritis

This is a summary of NICE guidance as per BMJ article. The spondyloarthritides are a group of inflammatory conditions with some extra-articulate manifestations. They may be peripheral or axial and are often missed. Axial spondyloarthritis Note that this affects similar … Continue reading

Posted in BMJ, Credits 2017, Rheumatology | Leave a comment