Category: Clinical

Clinical updates and guidelines for GP locums

Raising concerns about poor prescribing

Management of multiple sclerosis

Neurology

Nice | Obesity in adults and children

The big changes from the 2006 guideline have been well publicised in the news and mainly advise that referral for bariatric surgery be considered at a lower BMI to previously, especially where the patient has new onset Type 2 Diabetes Mellitus (T2DM).

Nice | Antenatal and postnatal mental health

Nice antibiotic guidance pointless until locums have prescriber numbers

Should GPs be given personalised antibiotic prescribing data? Yes, absolutely. But create a level playing field first by enabling GP locums to have the same access to those NHS structures and processes.

FSRH | Male and female sterilisation

Wheeze in preschool children

A very common condition, affecting 25% of infants before the age of 18 months, and one which we will see a lot of over the forthcoming months.

BASHH | HIV testing window

Nice | Gallstone disease

Nice | Acute heart failure

Trigeminal neuralgia

Neurology

Drug allergy: diagnosis and management in GP

Nice | Bipolar disorder

Nice | AF and heart valve disease – self monitoring using home devices

This new guidance from NICE advises that 2 new devices have been approved for home monitoring in warfarin patients with AF or heart valve problems. They are surprisingly cost-efficient for self-monitoring (eg where the patient checks their own levels and acts on them), though not for self-testing (where they just take their levels, then phones up to see what to do with them).

Category: Clinical

Motor neurone disease – MND

Nice | Obesity; consider early referral

Blepharitis, flashers and floaters

FSRH | Intrauterine contraception

Long term health and polycystic ovarian syndrome

STI screening for men who have sex with men