Recent Posts by Louise Hudman

e-learning | Managing abnormal liver function tests

This is a guideline on managing abnormal LFT that was published in 2017 by the British Society of Gastroenterology, but as it so useful I thought it worth summarising it. Key learning points for me: We should be investigating nearly all abnormal LFTs further and shouldn't use the duration or the degree of the abnormality…
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Stroke and TIA – initial management

This is an updated guideline from NICE on the management of stroke and TIA in over 16s. It was first published in 2008 and this update is from May 19. The most important change for us in this guideline is that they recommend that all patients with a suspected TIA now be seen by a…
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e-Learning | COPD diagnosis and management

This is an updated guideline from NICE on the diagnosis and management of COPD, published in Dec 18. It's a pretty mammoth guideline, first written in 2004. There is a useful flow chart on management. One for the wall... There is a separate guideline on antibiotic prescribing in COPD, which I have done another post…
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e-Learning | Management of Polycythaemia Vera

This is an updated guideline on the diagnosis and management of polycythaemia vera (PV) from the British Society for Haematology. It was published in Nov 18. PV is the same as polycythaemia rubra vera and PCV. Much of this is beyond what we need, but it outlines how we should be approaching a patient with…
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e-Learning | Ectopic pregnancy and miscarriage

This is an updated guideline on ectopic pregnancy and miscarriage from NICE (published Apr 19). It was last updated in 2012 when I originally wrote this blog post. The 2019 update doesn't add very much to what we were already doing. There are two new elements: Expectant management of women with a miscarriage before 6/40.…
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e-Learning | Lower urinary tract infection (UTI)

NICE released new guidelines in Oct 18 on antimicrobial prescribing in lower urinary tract infection (UTI). Public Health England (PHE) has guidelines on the diagnosis and management of UTI, which were update shortly afterwards. There is separate advice on antibiotic prescribing in pyelonephritis, but this doesn't change practice. The PHE guideline especially is really useful.…
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e-Learning | Renal and ureteric kidney stones

This is a new guideline from NICE on managing renal and ureteric stones, published in Jan 19. I'll give a summary of what is new, then do a more detailed summary below. What is new in this guideline? Investigations should be done within 24 hrs of presentation... (I'll just stop for a little laugh here...).…
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