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Latest Updates

Hypertension - diagnostic thresholds: are you using the correct ones?


Is it time to have a quick check of your practice protocol and see what it says?

Click below to see our summary of this 2016 BJGP article, the NICE guidance...
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Looking after yourself


Remember, in times of high stress, it’s even more important to PLAN AND PUT INTO YOUR DIARY those things that are vital to your wellbeing. If you don’t put them in, something else will...

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Nausea and vomiting in palliative care. One chance to get it right.

Nausea and vomiting in palliative care was the subject of a 2015 BMJ review. The main issue is to try and determine the cause of nausea and vomiting, and then select treatment accordingly. The...

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Quick-starting and bridging

It is not necessary to wait for the next period to start contraception. Quick-starting, though an unlicensed use of contraception, is a practice endorsed by the FSRH, which has given guidance...
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Evidence is emerging of risks with long-term use of PPIs, and the list is long!


So, there is lots to consider at that next medication review. To complicate matters, rebound acid is common on discontinuing PPIs. Step down therapy may be needed. But what do we do if...
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Neutropenic sepsis: NICE guidance

 
In 2012, NICE produced guidance on neutropenic sepsis. This is the easiest guidance in the world for GPs – there are just two sentences that are important to us!

1....
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Managing stress

Karl Albrecht described stress as falling into one of four main categories: time stress, anticipatory stress, situational stress and encounter stress. In our article, we consider each in turn...
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