Category Archives: BMJ

Flozins and COPD inhalers

That’s two separate subjects, not one, whose link here is that they were both the topics of useful papers in this week’s BMJ. The first was on possible adverse effects of flozins (sodium-glucose cotransporter-2 inhibitors). The paper was a very … Continue reading

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Peripheral arterial disease

Most patients are asymptomatic; however, note that this usually reflects more sedentary lifestyle rather than lesser severity, and asymptomatic patients with PAD are at just as much risk of complication. (Note that coexisting diabetic neuropathy also increases the chances of … Continue reading

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Acute rotator cuff tears

A possible complication of acute shoulder trauma. Unlike chronic tears, an acute tear needs fairly urgent repair but is easily missed. If a person cannot lift their arm past 90 deg following acute shoulder trauma, they need same-day X-ray and … Continue reading

Posted in BMJ, Credits 2018, Orthopaedics, Tendons | Leave a comment

Normal lower limb variants in children

Another very useful one from the archives; a BMJ article from 2015 about which issues with children’s legs don’t have to be referred to orthopaedics. Always good to know. Possible normal lower limb variants Rotational: intoeing and outtoeing Angular: genu … Continue reading

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Diagnosis of polycystic ovarian syndrome

The criteria I learned for diagnosis of PCOS were two of the following three: Oligomenorrhoea Clinical or biochemical signs of hyperandrogenism Polycystic ovaries on scan But, according to an article in the latest BMJ, different groups differ on these criteria. … Continue reading

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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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