Category Archives: BJGP

Primary hyperaldosteronism

I know this as Conn’s syndrome, but that’s slightly misleading; Conn’s syndrome refers specifically to an adenoma causing the hyperaldosteronism, and in fact only accounts for less than 30% of cases of PHA. PHA is important to pick up, as … Continue reading

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Ménière’s disease

Frequently overdiagnosed. Presents with a combination of the following symptoms, lasting for <24 hours at a time: Ear fullness Fluctuating hearing loss Low-pitch tinnitus Vertigo episodes lasting at least 20 mins at a time (typically 2 – 3 hours). Note … Continue reading

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BP control before surgery

A reference in the latest BJGP has just answered a question I’ve been meaning to look into; how good a blood pressure control do we need to aim for in patients we’re referring for surgery? Not as strict as I’d … Continue reading

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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

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Time of taking blood pressure tablets

I often have patients asking me if it matters when they take their tablets. Of course, sometimes it does; other times, I tell them that the best time to take them is when they’re most likely to remember. In the … Continue reading

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Stopping benzodiazepines

Interesting post in February’s BJGP – a three-arm RCT looked at how to persuade patients on long-term BZDs to stop. The group looked at were adults (18 – 80 yrs) who had used BZDs daily for at least six months … Continue reading

Posted in Addiction, BJGP, Credits 2016, Medication | Leave a comment

GPs asking patients to self-rate their health

This was the title of a qualitative study in the BJGP (2015; 65: 470 – 1 or DOI: 10.3399/bjgp15X686557) in which GPs asked patients with chronic problems (diabetes, pain, or unexplained symptoms) this question: How would you assess your general … Continue reading

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