Category Archives: Uncategorized

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

Metastatic spinal cord compression

Presentation Pain The most common first symptom – 95% of patients will present initially with pain. May be present for up to two months before signs appear. May be localised in/around spinal column, or may be radicular (unilateral or bilateral) … Continue reading

Posted in Don't miss, Neurology, Orthopaedics, Uncategorized | Leave a comment

Long-term treatment of gout

I’ve been taught that urate-lowering therapy is for patients who’ve had recurrent attacks of gout to the point of being troublesome (a specific guideline advised in this article is two or more attacks over 12 months), but apparently there’s also … Continue reading

Posted in Gout, Rheumatology, Uncategorized | Leave a comment

Useful points about Efudix

We’ve just been sent some information about Efudix use in general practice, and I wanted to write down the main points: If an area has multiple solar keratoses, the whole area (not just the individual keratoses) should be treated, as … Continue reading

Posted in Credits 2016, Dermatology, Skin lesions, Uncategorized | Leave a comment

The role of nutritional supplements

BMI should ideally be over 20. BMI 18.5 – 20 indicates that nutritional stores are already low or even depleted; this therefore scores 1 on the MUST score (which combines BMI with amount of weight loss and presence/absence of acute … Continue reading

Posted in Nutrition, Uncategorized | Leave a comment