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Latest Updates

Leg ulcers

Aetiology is different depending on whether the leg (70% venous insufficiency) or the foot (85% neuropathy) is affected. Anyone with a suspected arterial ulcer should have an ABPI. It is good practice...

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Insomnia management: something better than a drug?

In trials, Z-drugs reduced  the time to getting off to sleep by only 22min (CI 11–33min) compared with placebo. This minimal benefit is worth sharing with patients. 

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HRT: starting, stopping and troubleshooting

Menopause is a normal physiological event. In the UK, the average age for a woman to reach the menopause is 51y. Declining oestrogen levels cause menopausal symptoms. HRT is the most effective...

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Chronic pain and opiates

These articles have included tragic stories of how prescriptions for pain relief have led to addiction, with all its destructive consequences. Some, with deep honesty, reveal how GPs were manipulated...

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Spotting measles: Red Whale’s top tip!

Other practical tips that our Spring delegates found really useful and that you can pick up at our Summer GP Update courses include:
 

  • How...
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PSA screening

IMPORTANT: when we are talking about screening for prostate cancer, we are talking about ASYMPTOMATIC MEN. Symptomatic men may need a PSA test as part of their...

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Colorectal cancer: finally, a test FIT for purpose?

For many, this meant using the old guaiac FOB tests. These have a sensitivity of just 75% for colorectal cancer in the symptomatic population so can’t be used to rule out cancer. They also have...

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