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Latest Updates

Elevated prolactin. Might it be prolactinoma?

Prolactinomas are the most common type of secretory pituitary tumour. They may produce clinical features related to excess prolactin, but clinical symptoms may arise...

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Chronic pain and opiates

The BBC notes that prescriptions for opiod painkillers have increased by 60% in the UK during the past decade, and the number...

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Statins and targets

NICE and SIGN have for some time asked us to aim for a 40% or more reduction in non-HDL cholesterol in those in statins for both primary and secondary prevention. This study looked at those on...

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Lichen sclerosus

If there is any diagnostic doubt, biopsy should be undertaken BEFORE application of very potent steroid treatment. Prior to biopsy, emollients and moderate potency...

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Investigation of bruising

In the absence of a family history or significant bleeding over their lifetime, a bleeding disorder is unlikely. Senile purpura, drugs and vitamin deficiencies are...

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Epilepsy and antiepileptics in pregnancy

We should refer any woman with epilepsy who is planning a pregnancy to their specialist before conception, and advise them NOT to stop their drugs. Women...

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Red Whale Webinars

Red Whale webinars in association with Macmillan Cancer Support.

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FourteenFish Appraisal

When you book your GP Update course, you’ll unlock a 15% discount on the FourteenFish Appraisal Toolkit.

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