Louise Hudman

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

Prostate artery embolisation for benign prostatic hypertrophy BPH

September 29th, 2018

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...

August 20th, 2018

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This is a new guideline from NICE on managing hearing loss and ear wax, published in June 2018. Exciting? Well, there are a couple of good bits in here, especially given how common a problem this is. ...

July 12th, 2018

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This is a new guideline from NICE on stop smoking interventions. If you do nothing else, I would strongly encourage you to do the National Centre for Smoking Cessation and Training NCSCT e-learning mo...

July 4th, 2018

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NICE published an update to its guideline on heavy menstrual bleeding (menorrhagia) in March 2018. There are a couple of changes:Hysteroscopy is now the first line investigation for most women who n...

May 31st, 2018

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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...

Nice | Non-alcoholic fatty liver disease NAFLD

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...

Nice | Non-alcoholic fatty liver disease NAFLD

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...

Louise Hudman

NASGP

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