Recent Posts by Louise Hudman

e-learning – Abdominal Aortic Aneurysm (AAA)

This is a new guideline from NICE on investigating and managing AAA. It was published in Mar 2020. The main things for us are being aware of who we should be encouraging screening for. Who should we be promoting screening to? Screening is offered to all men in the year they turn 65. Inform all…
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e-learning – Tinnitus

This is a new guideline from NICE published in Mar 2020 on the management of tinnitus. I will summarise the advice below. There isn't much new in this for us, but I would highlight that they encourage us to explore a patient's mental health from their initial presentation. What advice and information can we give…
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e-learning | New treatments for hyperkalaemia

There have been two recent new guidelines from NICE on managing hyperkalaemia. The first deals with the snappily named sodium zirconium cyclosilicate. The second deals with patiromer. These are both oral drugs, binding potassium in the GI tract and, as they are not absorbed, it is then excreted. Who can have these drugs? Both drugs…
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e-learning | Indoor air quality

This is a new guideline on improving the air quality in people's homes. It was published in Jan 20. The crux of this is that there is an increasing awareness that indoor air pollution (think cooking fumes, damp, sprays, fires etc) can be damaging to health. What do we have to do as GPs? Spot…
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e-learning | Thyroid Disease

This is a new guideline from NICE, published in Nov 19, on thyroid disease. Much of this guideline supports our current practice. There were a few new bits for me and I have listed these below, then summarised the guideline. The guideline covers both children and adults, but as we mainly deal with adults with…
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Cluster headaches and gammaCore

This is a new guideline from NICE on the use of gammaCore for cluster headaches. It was published in Dec 19. It should be used by specialists. Why is a new treatment important? About 5 people a year in the UK commit suicide because of cluster headaches. The side-effects from conventional medications and the monitoring…
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e-learning | Hypertension in pregnancy

This is an updated guideline from NICE on managing hypertension in pregnancy. It was first published in 2010 and has been updated in June 19. I will do a summary of the bits of the guideline that are relevant to us, but the following are some of the key changes: Choice of medications. This has…
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e-learning – Fever in under 5s

This guideline has been updated in Nov 19. It was first published in 2007, then updated in 2013, when I first did this blog. The main update this year is around Kawasaki disease. It used to be that Kawasaki disease was diagnosed if children had 4 out of 5 features. However it has now been…
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