GP Update

Trigeminal neuralgia

Although rare, trigeminal neuralgia can have a huge impact on a patient’s quality of life. This useful BMJ review gives us guidance on how to spot it and treat it effectively, something your patients with trigeminal neuralgia will no doubt thank you for! (BMJ 2014;348:g474). What is trigeminal neuralgia? A facial pain syndrome which usually…
Read more

Hyperhidrosis

Aimee Lettis from the GP Update team gives us short, sharp nuggets of clinical information for sessional GPs. I imagine we’ve all been sweating a bit more than usual these past few weeks during this hot humid weather we’ve been having, but imagine being like that, only worse, all the time. Primary hyperhidrosis is probably…
Read more

Diagnosis and management of anal fissures

Aimee Lettis gives us short, sharp nuggets of clinical information for sessional GPs. I’ll cover something you will be familiar with as GPs: anal fissures, as well the new test on the block, faecal calprotectin. Anal fissures Maybe not the most glamorous of conditions, but a common (1 in 10 lifetime risk) and painful one!…
Read more

Nice | Familial breast cancer

Each year in the UK 49,000 women and 400 men are diagnosed with breast cancer. Only 20% of patients have a positive family history, with 5% of breast cancers being attributable to specific mutations in BRCA1, BRAA2 and TP53 genes. In recent years several high profile celebrities have helped raised awareness of familial breast cancer.…
Read more

NSAIDs

Aimee Lettis from the GP Update team gives us short, sharp nuggets of clinical information for sessional GPs. They’re one of the commonest painkillers used in primary care. But if, like me, you’re always slightly anxious about prescribing an NSAID, you may find this review on NSAIDS useful. First though, here’s a warning about diclofenac…
Read more

Routine UK immunisation schedule

It’s all change for the UK immunisation schedule this year. If, like me, you’re feeling a little in the dark, then you may find this summary helpful. Age Diseases Vaccine given Site Change 2m Diphtheria, tetanus, pertussis, polio & H.influenzae B Pediacel: DTaP/IPV/Hib Thigh NEW! Introduction of rotavirus Pneumococcal Prevenar 13: PCV Thigh Rotavirus Rotarix…
Read more