Category Archives: BMJ

Snippets

Some interesting bits and bobs in the latest BMJ: The three most effective NSAIDs for hip and knee osteoarthritis appear to be, in descending order, diclofenac, etoricoxib, and rofecoxib. Now, of course, that’s of limited use, given the high risk … Continue reading

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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

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Steroids – not all that useful for sore throats

There’s been some evidence in the past that steroids might be of help for sore throats, so it was interesting to see a JAMA study on the subject mentioned on Richard Lehman’s blog page. Comparison of a single 10 mg … Continue reading

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Treatment of urinary tract infection in pregnancy

A couple of useful points from a BMJ article: Nitrofurantoin is now considered safe in all three trimesters, but not at term; it can increase the risk of haemolysis Trimethoprim is considered safe after the first trimester Amoxicillin and cefalexin … Continue reading

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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

Screening for cancer after unprovoked DVT

This BMJ article seemed in fact to be arguing against a bit of a strawman, in that the NICE guideline it disputed did not in fact say quite what they claimed it said. However, it did end up highlighting a … Continue reading

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Restless legs syndrome

The latest BMJ has an article on restless legs syndrome. Diagnostic criteria 5 criteria need to be fulfilled for diagnosis (I’ve slightly rephrased these for myself, but the meaning should be the same): Urge to move the legs. Usually accompanied … Continue reading

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