Category Archives: Credits 2017

Pelvic congestion syndrome

Posted on August 5, 2017 by

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)

Posted on July 26, 2017 by

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

The physiology of PCOS

Posted on July 25, 2017 by

Another one from the archives. This one is an article in the July 2014 JFPRHC explaining the physiology behind PCOS and our treatments, by W. Colin Duncan, clinical fellow and consultant in reproductive medicine at the University of Edinburgh. It’s … Continue reading →

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Urticaria

Posted on July 24, 2017 by

I’ve been going through old journals, and found this useful article on urticaria in Prescriber 19.2.15, by Ruth Sabroe. As well as typical acute urticaria in response to viruses, medication, and who-knows-what, there are a number of what are called … Continue reading →

Posted in Credits 2017, Dermatology, Immunology | Leave a comment

When Q waves are a normal variant

Posted on July 21, 2017 by

It seems I’ve been overdiagnosing past MIs on ECGs. A cardiologist has now sent me the helpful information that isolated Q waves in III are a variant of normal. Old inferior MI can only be diagnosed if there are Q … Continue reading →

Posted in Cardiovascular, Credits 2017 | Leave a comment

Snippets

Posted on July 15, 2017 by

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 →

Posted in BMJ, Credits 2017, Elderly Medicine, Medication, NSAIDs | Leave a comment

Reflux in infants

Posted on June 7, 2017 by

(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 →

Posted in BMJ, Credits 2017, Paediatrics | Leave a comment