Category Archives: Credits 2017

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

Chondrodermatis nodularis helicis

Posted on May 11, 2017 by

I just checked some photos and confirmed my suspicions that this is what one of my patients has, so am making some notes on the advice: Main thing is to avoid pressure on the ear during sleep. Cutting a hole … Continue reading →

Posted in Credits 2017, Dermatology, Skin lesions | Leave a comment

Postponing menstruation, and amenorrhoea with contraception

Posted on May 1, 2017 by

Like most GPs, I’ve happily dished out prescriptions for norethisterone when a woman wanted to postpone her period, on a basis of hey, what harm can it do? More than I thought, it turns out; according to an article in … Continue reading →

Posted in Credits 2017, Gynaecology, JFPRHC | Leave a comment

Bits and bobs

Posted on April 23, 2017 by

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

Hip protectors

Posted on April 17, 2017 by

Several of the residents at the care home where I work have recently suffered falls, and one enthusiastic young staff member raised the issue of whether hip protectors would be helpful. Which was a very good question. I vaguely remember … Continue reading →

Posted in Credits 2017, Elderly Medicine | Leave a comment

Spondyloarthritis

Posted on March 18, 2017 by

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 →

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

Discussing TEP/ceiling of care plans

Posted on March 14, 2017 by

An article on how to discuss ceiling of care (including resuscitation); this is something I do with every new patient at the care home I cover (or with their family, if the resident isn’t able to have that discussion) so … Continue reading →

Posted in Ceiling of care, Credits 2017 | Leave a comment