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Latest Updates

Thyrotoxicosis

Antithyroid drug treatment is often used first line in the UK. Regular blood tests are needed. Relapse rates in Graves’ disease are 50–70%. We should give all patients starting antithyroid drugs...

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Bullous pemphigoid

If you think a patient has it, refer to dermatology for biopsy and confirmation – call to discuss!

Oral doxycycline is an increasingly evidence-based...

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Managing the consequences of cancer treatment

It is important that we are aware of the long-term consequences of treatment. Here, we pull together a number of re-sources to highlight the common concerns and issues that breast cancer survivors...

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Acute knee pain (traumatic)

It does not look as if Tariq has a minor sprain or strain, and, at the age of 19, osteoarthritis is unlikely! After fleetingly wishing Tariq had just gone to A&E last night, you start your evaluation....

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Ask WHY before HOW

“Our practice recently joined a Federation. It sounded like a good idea – on paper. We thought it would give us greater ‘clout’ with the commissioners and the local acute care trust. Each practice put quite a bit of money...

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Thrombocytosis and cancer

When NICE issued its referral guidelines for suspected cancer, the use of a raised platelet count as a marker for lung, endometrial, gastric and oesophageal cancer came as a surprise to many of...

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HRT choosing preparations and bio-identical hormones

She will need progesterone as well as oestrogen. But, what do you recommend about conventional or conjugated equine oestrogens? What if she asks about plant-based ‘bioidentical’ hormones? What...

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