Louise Hudman

Louise Hudman is a GP locum and regularly summarises clinical guidelines.

Nice Attention Deficit Hyperactivity Disorder ADHD guideline

May 31st, 2018

This is a guideline from NICE on Attention Deficit Hyperactivity Disorder ADHD. It was written in 2008, then updated in March 2018. The changes are relatively subtle, so I shall outline the changes, t...

May 17th, 2018

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This is a statement from Jan 18 from FSRH giving information about Kyleena, which is a new levonorgestrel (LNG) containing intrauterine system (IUS). What is Kyleena? An IUS. It contains levonorgestre...

April 26th, 2018

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This is a new guideline from NICE on when to use antibiotics for otitis media (March 2018). It doesn't change common practice, but I found some of the statistics really helpful for explaining why we p...

April 5th, 2018

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This is a new guideline from NICE on the use of the Peristeen transanal irrigation system for managing bowel dysfunction. Peristeen is otherwise known as Coloplast; patients use it every other day. It...

March 23rd, 2018

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This is a new guideline from NICE on pancreatic cancer. Most of this is aimed at specialists, but there was a useful bit on when to consider surveillance in people who are at higher risk. Hopefully mo...

March 15th, 2018

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This is a recent guideline from NICE, which gives advice on managing faltering growth in children. A lot of this is common sense, but as it is a new guideline, I will summarise the bits relevant to us...

February 22nd, 2018

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This is a new guideline from NICE which advises on when to use antibiotics in patients with tonsillitis or sore throat. If you already use a scoring system to help you decide when to prescribe it does...

January 31st, 2018

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This is a new guideline from NICE on diagnosing and managing cystic fibrosis. Most of this guideline will be much more relevant to secondary care, so I'm just covering the list of possible presentatio...

January 23rd, 2018

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This is a new guideline from NICE on a new treatment for MS. Obviously we won't be prescribing this, but I thought it worth mentioning as we may see patients starting to use it. It is an oral medicati...

January 16th, 2018

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This is a NICE guideline from a couple of months ago in the use of antibiotics in sinusitis. I must say that this has changed my practice significantly, so well worth a read, especially the background...

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November 2nd, 2017

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This is a new guideline from NICE on managing endometriosis. I'll do a general summary of this as it is a new guideline. However I don't think it changes very much that we do. There is a good algorith...

October 18th, 2017

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This is a new guideline from NICE on managing eating disorders. It is really targeted around anorexia nervosa and bulimia. Much of this is not new, but as we don't see patients with these disorders to...

April 4th, 2017

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This is a new guideline from the FSRH on contraception after pregnancy. There is nothing particularly new about specific methods, but there are a few new interesting points (including a reminder that ...

October 3rd, 2016

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This is a new guideline from NICE on cirrhosis. The most important bit for us is knowing who should be tested as we may need to be referring these patients on. Higher risk patientsHepatitis B Hepati...

August 26th, 2016

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This is a new guideline from NICE on non alcoholic fatty liver disease (NAFLD) in children, young people and adults. To be honest, I don't think this guideline is terribly helpful. I've done a brief s...

August 25th, 2016

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There are two new guidelines from NICE on the use of Evolocumab and Alirocumab for treating primary hypercholesterolaemia (both familial and non-familial) and mixed dyslipidaemia. What are these drugs...

August 22nd, 2016

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The UKMEC criteria from the FSRH have been updated. These criteria tell you what conditions or criteria may make the use of different contraceptives inappropriate. If you are not familiar with it, it ...

August 21st, 2016

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This is a new guideline on using the Greenlight XPS system for treating BPH. This has been widely reported in the media. It is as effective as TURP in low-risk patients and has the big advantage of be...

August 5th, 2016

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August 4th, 2016

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This is a new guideline from NICE on the detection and management of sepsis. None of this is likely to be new, but it is worth looking through. I think the main reason is, sadly, from a medico-legal p...

July 22nd, 2016

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This is a statement from the FSRH on a study recently published on risks with COC use. This study looks at how the different dose of oestrogen and how the different progesterone affect the risk of PE,...

July 21st, 2016

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How often have you encountered an anxious parent with their child with bow legs or in-toeing and wondered ‘is this normal or not?’. If you don’t feel 100% confident in knowing which child needs simple...

July 11th, 2016

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This is new guidance from NICE advising that canagliflozin, dapagliflozin and empagliflozin can all be used as monotherapies in treating Type 2 Diabetes. Previously they have only been advised as add-...

July 8th, 2016

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This is a new guideline from NICE on using two new tests which will help in the diagnosis of pre-eclampsia. Although we are unlikely to be using these tests ourselves, we may start seeing patients who...

July 7th, 2016

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Another guideline from NICE on a new treatment for migraine (transcutaneous electrical stimulation of the supraorbital nerve). They have advised that this treatment can be used as it raises no safety ...

June 29th, 2016

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This is a guideline update from NICE on the use of donepezil, galantamine, rivastigmine and memantine in Alzheimer's disease. Donepezil, galantamine and rivastigmine (the acetylcholinesterase - AChE ...

May 27th, 2016

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This is a new guideline from NICE on when sacubitril valsartan should be used. Sacubitril valsartan is a combination drug. It includes the angiotensin 2 receptor blocker (ARB), valsartan. It also incl...

May 19th, 2016

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These are two guidelines, but both on the topic of pre-operative testing, so they fit nicely together. I am just pulling out the points useful for us GPs. Pre-operative tests This is a new guideline f...

May 13th, 2016

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This is a new guideline from NICE that advises that two new diabetes pumps can be used. These both have integrated interstitial glucose sensors. This means that the pump can measure glucose levels. Th...

May 6th, 2016

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These are 2 new guidelines from NICE. I thought it was interesting to know that they are out there, but we don't need to know much about them at this stage. Transcutaneous stimulation of the cervical ...

April 28th, 2016

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This is a new guideline from RCOG on diagnosing and managing endometrial hyperplasia. This is a very common condition, so highly relevant for us and I had no idea on some of the management options. I ...

April 15th, 2016

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This is a new guideline from the RCOG on managing ovarian hyperstimulation syndrome (OHS). Most patients will ultimately be managed in secondary care, but we need to be aware of it, as most women appa...

March 29th, 2016

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Aimee Lettis from GP Update on how the management of testicular cancer has come a long way in the last 50 years.Testicular cancer survival has been one of the real success stories in cancer tre...

March 18th, 2016

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This is a new guideline from NICE advising that repetitive transcranial magnetic stimulation (rTMS) can be used in the treatment of depression. rTMS is only normally considered for patients who have n...

March 18th, 2016

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There are three new guidelines from NICE about using various percutaneous treatments for intervertebral disc problems. Percutaneous coblation of the intervertebral disc for low back pain and sciatica....

March 11th, 2016

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This is a new guideline from Nice advising that sacral nerve stimulation can be used to treat non obstructive idiopathic urinary retention. It may be useful for people with neurological disorders for ...

March 11th, 2016

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This is a guideline from the FSRH about a new pill, Eloine, which contains 20mcg ethinylestradiol and 3mg drospirenone. There is a cheaper generic equivalent, called Daylette. In the USA it is known a...

March 4th, 2016

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This is a guideline on Nalmefene from NICE; they originally advised that Nalmefene could be used in Nov 14. This lays out how. It is an opioid receptor modulator and can help to reduce alcohol consump...

March 4th, 2016

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This is a new guideline from NICE on treating symptomatic Morton's neuroma with radiofrequency ablation (RFA). They also list current advised management, which I have added at the bottom, as I felt a ...

March 4th, 2016

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Louise Hudman

NASGP

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