Category Archives: Uncategorized

Indications for referring children with eczema

Immediately Eczema herpeticum where child is systemically unwell   Within two weeks Severe eczema not responding to optimal therapy within a week Bacterially infected eczema not responding to treatment   (Quick Quiz BMJ module)

Posted in Dermatology, Paediatrics, Uncategorized | Leave a comment

Scabies

Permethrin 5% cream is first-line treatment; aqueous malathion is 2nd-line. If the first course doesn’t work, try the other one. Everyone in the family needs to be treated simultaneously, and all clothing (including clothes which have been worn but are … Continue reading

Posted in Dermatology, Uncategorized | Leave a comment

Parkinson’s disease

Features of Parkinson’s disease: Bradykinesia Hypokinesia (paucity of movement) Resting tremor Rigidity Postural instability (usually the last of the cardinal signs) Those are the cardinal signs.Tremor is typically made worse by stress, tiredness, or the feeling that other people are … Continue reading

Posted in Neurology, Uncategorized | Leave a comment

Treatment of urinary tract infection in pregnancy

A couple of useful points from a BMJ article: Nitrofurantoin is now considered safe in all three trimesters, but not at term; it can increase the risk of haemolysis Trimethoprim is considered safe after the first trimester Amoxicillin and cefalexin … Continue reading

Posted in BMJ, Credits 2017, Medication, Medication in pregnancy, Pregnancy and Childbirth, Uncategorized | Leave a comment

First, second, third and fourth diseases?

This is of no educational value whatsoever, but I couldn’t resist adding it. In the onrush of facts to be memorised to get through medical school, I spared very little time for wondering why slapped cheek is known as ‘fifth … Continue reading

Posted in Infectious Diseases, Uncategorized | Leave a comment

Anal itching

Not the nicest of topics, but, since it is one I often get asked about, I was glad to see a BMJ article on it. Thoughts: Most of the causes are things I’d have thought of (thrombosed piles, fungal infection, … Continue reading

Posted in Credits 2016, Minor but annoying, Uncategorized | Leave a comment

HRT

Who can have it? Several of the contraindications to combined oral contraception are not contraindications to HRT; in particular, being a smoker over 35 is not considered a contraindication at all, even to oral HRT. I suppose that one was … Continue reading

Posted in Gynaecology, HRT, Uncategorized | Leave a comment