Author Archives: Dr Sarah

About Dr Sarah

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

Diabetes in pregnancy

Affects approximately 5% of pregnant women, of whom over 80% have gestational diabetes and the rest had pre-existing DM of either type. Screening NICE recommends screening the following high-risk groups: BMI >30 Previous baby 4.5 kg or over Previous gestational … Continue reading

Posted in Diabetes, Endocrinology, Pregnancy and Childbirth | Leave a comment

Lab tests in chronic liver disease

ALT/ALP tend not to be very good markers; they reflect acute hepatocellular damage rather than cirrhosis. Normally what you see is: Low albumin Prolonged clotting times Low platelets (platelet sequestration in portal hypertension)

Posted in Investigations, Lab results, Liver | Leave a comment

Haemolysis markers

Reticulocyte count up Reduced haptoglobin Raised LDH (BMJ Learning module on jaundice)

Posted in Haematology, Investigations, Lab results | Leave a comment

Nausea and vomiting in palliative care

I get involved with a lot of palliative care, so this BMJ review article on management of this very common problem was well worth the read. Good news, first off; as problems go, this is one that’s very amenable to … Continue reading

Posted in Palliative care | Leave a comment

Parkinson’s disease

Features of Parkinson’s disease: Bradykinesia Hypokinesia (paucity of movement) Resting tremor Rigidity Postural instability (usually the last of the cardinal signs) Those are the cardinal signs.Tremor is typically made worse by stress, tiredness, or the feeling that other people are … Continue reading

Posted in Neurology, Uncategorized | Leave a comment

Pelvic congestion syndrome

I distantly remembered reading something about this many years ago; when a patient’s ultrasound showed pelvic varices, I realised I’d need to refresh my memory. Presentation Dull aching or throbbing pain, typically on one side of the pelvis although can … Continue reading

Posted in Credits 2017, Gynaecology | Leave a comment

BRONJ (bisphosphonate-related osteonecrosis of the jaw)

The latest BJGP carries an article about this. Recommended management from the GP point of view: Asymptomatic BRONJ (exposed bone with no pain or evidence of local infection): Routine max-facs referral Antimicrobial mouth rinse, such as chlorhexidine 0.12% Pain/evidence of … Continue reading

Posted in BJGP, Credits 2017, Medication | Leave a comment