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Latest Updates

There is a significant risk of developing hypertension later in life if there has been hypertension in pregnancy

Women affected by hypertension in pregnancy need monitoring for life, and those who are obese should be advised about the risk and be encouraged to lose weight.

Do you routinely...

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Perianal abscess. Is there a place for antibiotics?

A recent BMJ review suggests that almost all perianal abscesses require drainage, even if they have spontaneously discharged. Incision and draining can be performed under general or local anaesthesia....

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Aspirin in TIA

In the week after a TIA or minor stroke, the risk of recurrent stroke is up to 10%, and often this second stroke is more disabling. Early intervention can reduce this risk significantly. A 2016...

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Screening for cancer after unprovoked VTE

The authors conclude that the evidence suggests extensive screening (including CT scanning) may not be beneficial, and may result in harms. They suggest patients should be told of the NICE recommendations...

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Travellers’ diarrhoea

Antibiotic chemoprophylaxis is NOT recommended for most travellers because of the risk of adverse effects such as candidiasis and Clostridium difficile-associated diarrhoea.

But...

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Ischaemic colitis: a diagnosis to consider in abdominal pain with bloody diarrhoea

Ischaemic colitis is an acute transient disruption of blood supply to the colon which leads to mucosal ulceration, inflammation and haemorrhage. Ischaemic colitis is NOT the same as mesenteric...

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Hereditary haemochromatosis

Genetic testing for haemochromatosis is increasingly available. We might offer a test for mutations in the HFE gene if we find raised ferritin (>300mcg/l in men or >200mcg/l in women) or transferrin...

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