Category Archives: BMJ

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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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

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

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Thrombophlebitis as a sign of DVT

I already knew (the hard way, having learned it as a result of a complaint some years back) that superficial thrombophlebitis can be a sign of DVT. However, I was surprised to read in this week’s BMJ the frequency with … Continue reading

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Why bisphosphonates may be overrated

There has been some talk lately about whether it is really worthwhile to have as low a threshold as we do for treating osteoporosis with bisphosphonates, and some researchers have now put a useful figure on this – a meta-analysis … Continue reading

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Wheezing in pre-school children

I never quite understood why wheezing in pre-school children is not meant to be called asthma when it looks like asthma, sounds like asthma and behaves like asthma, but apparently the reason is the absence of eosinophilic airways inflammation. Some … Continue reading

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Prescribing tips

I was taught that prednisolone courses for COPD exacerbations should be two weeks plus a wean-off, but have noticed that most people seem to use five days. The controversy is now resolved – the REDUCE trial, an RCT in Switzerland, … Continue reading

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