Routine pre-operative tests and blood pressure

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 from NICE on what tests are required pre-operatively. Most of it is obviously for secondary care, but there are a…
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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.…
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Upper gastro-intestinal bleeding

This guideline is aimed at secondary care and bleeding from peptic-ulcers or varices. Bear in mind, that this doesn’t really look at management of other causes of bleeding, like Mallory-Weiss tears and oesophagitis as there isn’t much research on these and bleeding is normally self-limiting and less serious. Basically our hospital colleagues should be risk-scoring…
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RCOG | Breast cancer and pregnancy

A lot of this is aimed at specialists. There are some useful bits about preconception counselling in a woman who’s had breast cancer and also advice about breast feeding. The most useful things are: New presentation of breast lump – ensure you refer women as you would if they weren’t pregnant. Women can have treatment…
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