Category Archives: Credits 2017

BP control before surgery

A reference in the latest BJGP has just answered a question I’ve been meaning to look into; how good a blood pressure control do we need to aim for in patients we’re referring for surgery? Not as strict as I’d … Continue reading

Posted in BJGP, Credits 2017, Hypertension, Surgery | Leave a comment

Steroids for sore throats

An update on this problem: a systematic review and meta-analysis in the BMJ. This found that there is, in fact, moderate quality evidence that a one-off dose of steroid can improve pain in sore throat. Not the speed with which … Continue reading

Posted in Credits 2017, Medication, Minor but annoying | Leave a comment

Shingles infectivity

After having a case of shingles and two more suspected cases (which turned out not to be) at the care home where I work, I thought it might be useful to put together a protocol for staff. I posted this … Continue reading

Posted in Credits 2017, DENs, Infectious Diseases | Leave a comment

Secondary post-partum haemorrhage

Blood loss of >500 ml for a vaginal birth or >1000 ml for a CS, between 24 hours and 12 weeks postpartum. Causes: Retained products or endometritis. Examination: Note that the uterus should not be palpable abdominally by day 14; … Continue reading

Posted in Credits 2017, Pregnancy and Childbirth | Leave a comment

Dermatology revision

For the record, just went through this slideshow on emedicine. No particular notes, but very good practice to actually look at examples of the rashes now and again.

Posted in Credits 2017, Dermatology | Leave a comment

Management of paediatric hernia

BMJ review article: Umbilical hernias: Usually close spontaneously by the age of 4, and can be safely left to do so as complications are rare. However, spontaneous closure becomes less likely in children over 4, so if a hernia hasn’t … Continue reading

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

Arthroplasties – the post-op period

This BMJ article covers post-op management of shoulder, hip, or knee arthroplasty. A lot of this is obviously going to be managed by the surgical team in question, but there are invariably GP queries, so I thought it was worth … Continue reading

Posted in Credits 2017, Joints, Orthopaedics | Leave a comment