Louise Hudman

Louise Hudman is a GP locum and regularly summarises clinical guidelines, most of which now include an NASGP AppraisalAid e-Learning template, so you'll receive a pdf and Word document of your reflected learning.

Impetigo, antibiotic use and hydrogen peroxide 1% cream

April 1st, 2020

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Image by James Heilman, MD This is a new guideline from NICE on the use of antibiotics in impetigo. It was published in Feb 20. My key learning point from this is that we should now consider using hyd...

March 17th, 2020

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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 f...

February 27th, 2020

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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 s...

February 8th, 2020

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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 i...

January 10th, 2020

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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 ...

November 30th, 2019

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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 Ka...

November 26th, 2019

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This is a new guideline from NICE advising that rivaroxaban plus aspirin can be used in the prevention of atherothrombotic events, under certain circumstances. It was published in Oct 19. This is quit...

November 8th, 2019

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This is an updated guideline from NICE on managing hypertension in adults. It was published in Aug 2019. So what is new? The meat and bones of management is the same. There are a few small differences...

October 16th, 2019

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NICE first published guidance on pneumonia in 2014, and updated 2019. At that time there was a push to use the CRB65 score in general practice and also CRP as an aid to deciding on when to use antibio...

October 11th, 2019

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This is a new guideline from NICE on using dapagliflozin in patients with Type 1 diabetes. It was published in Aug 19. Key learning points for me:There is a rise in the risk of ketoacidosis. It need...

September 30th, 2019

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This is a new guideline from NICE on managing high calcium (Ca) levels and hyperparathyroidism. It was published in May 2019. I am doing a general summary of the guideline. Although some of this is go...

September 20th, 2019

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This is a new guideline from NICE giving advice on ertugliflozin, published in April 2019. I am also doing a quick reminder about the other SGLT-2 inhibitors. What is ertugliflozin? It is another sodi...

September 13th, 2019

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This is a guideline from the BSH on investigating and managing a raised ferritin. It was published in 2018. I'm going to summarise it, but there is a lot more in the guideline, which would be useful t...

September 5th, 2019

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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:...

July 23rd, 2019

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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 guidelin...

June 18th, 2019

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This is a new guideline from NICE on when to prescribe antibiotics in an acute exacerbation. It was published in Dec 18. It should be read alongside their updated guideline on COPD. The most interesti...

June 18th, 2019

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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....

June 6th, 2019

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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...

May 24th, 2019

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This is a 'New Product Review' from the FSRH on the intrauterine ball (IUB). It is otherwise known by the not so catchy title of SCu300B MIDI. This is a copper intrauterine device. It has copper beads...

May 11th, 2019

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This is a new guideline from NICE on when to prescribe antibiotics for coughs. It only covers those with acute coughs and doesn't include COPD patients (they are covered in a separate guideline). I w...

April 24th, 2019

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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 muc...

April 23rd, 2019

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This is a guideline on Fetal Alcohol Spectrum Disorder from SIGN outlining the assessment and management of children who have had prenatal alcohol exposure (PAE). It was published in Jan 2019. Prenata...

April 8th, 2019

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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 wer...

March 19th, 2019

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NASGP member Eva Kalmus describes how she became co-chair of the new GeriGP group of the British Geriatrics Society (BGS), and why being a portfolio GP has never been boring. When I did my GP training...

March 18th, 2019

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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? ...

February 25th, 2019

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×Updated March 2019 This is a new product review from the FSRH. Levosert is an LNG-IUS, which is the same as Mirena. It seems to be as effective as Mirena and to have similar side-effects. It i...

February 18th, 2019

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This is an update from the FSRH on the use of combined hormonal contraception (CHC). There are a couple of elements in here that are new. I shall list these, then give the check-list of what they thin...

February 1st, 2019

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This is an updated guideline from NICE on Post-Traumatic Stress Disorder PTSD. The last guideline came out in 2005. I don't think this really changes our management much (i.e. watch and wait for 1 mon...

January 22nd, 2019

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This is a new guideline on bronchial thermoplasty from NICE on bronchial thermoplasty for severe asthma. NICE advise that it can be used.This procedure reduces the smooth muscle mass lining th...

December 14th, 2018

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This was an updated guideline from the FSRH on contraception in the over 40s. It came out in Nov 17, but as it is so useful, I thought it worth doing a summary. There were a few things that were new f...

December 10th, 2018

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This is a new guideline from NICE advising that iFUSE can be used for treating chronic sacroiliac pain. The guideline was released in Oct 18. It is worth being aware of as we may have patients affecte...

November 22nd, 2018

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This is an updated guideline on heart failure from NICE published in September 2018. Most of this is what we are currently doing. They have pulled several different guidelines together to make this mo...

November 5th, 2018

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This is a new guideline from NICE on pancreatitis from Sep 2018. Most of it is aimed at secondary care, but there are a few things that are useful for us which I've outlined below. Advice to give pati...

November 3rd, 2018

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This is a new guideline from NICE recommending that transurethral water vapour ablation can be used for treating lower urinary tract symptoms (LUTS) in men. It was published in Aug 18. This procedure ...

November 1st, 2018

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You have probably heard about this on the news, or seen it in other forms, but in case you have missed it, I felt it important to do an update. This information came out in Apr 18 from MHRA. Valproate...

October 18th, 2018

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Join the clinical conversation NASGP's GP-only Facebook GroupThis is a new guideline from NICE on the management of dementia. Most of this is not new, but there were a couple of things I wasn't ...

September 29th, 2018

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This is guideline from NICE advises that prostate artery embolisation can be used as a treatment for lower urinary tract symptoms association with benign prostatic hypertrophy (BPH). This came out in ...

September 15th, 2018

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Did you know that captopril was derived from the venom of the deadly Brazilian pit viper? Since it went on the market in 1981 captopril and its successor ACE inhibitors have probably saved many more l...

August 28th, 2018

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This is a new guideline from RCOG on Bladder Pain Syndrome, which used to be called Interstitial Cystitis, among other things. As this is a new guideline and it is a common problem (affecting up to 6%...

August 24th, 2018

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This summary is based on 3 recent NICE guidelines:Bisphosphonates in people for primary or secondary prevention. Raloxifene for primary prevention. Basically it isn't advised. Raloxifene and teripar...

Louise Hudman

NASGP

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