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BMJ Best Practice
Straight to the point of care. Follow for clinical topic updates covering new guidelines and treatment changes.
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BMJ Best Practice Nov 18
Using antimicrobial agents appropriately and discontinuing them as soon as possible helps reduce changes in bowel flora, thereby making the acquisition of Clostridium difficile less likely.
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BMJ Best Practice Nov 17
Replying to @BMJBestPractice
The answer is hepatitis B infection. People with a family history of hepatitis B virus (HBV) infection, hepatocellular carcinoma, and/or chronic liver disease have an increased risk of infection.
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BMJ Best Practice Nov 15
40 y/o asymptomatic man presents for a routine visit with an elevated alanine aminotransferase level (55 IU/mL). His mother died of hepatocellular carcinoma. He has a normal physical examination and has no stigmata of chronic liver disease.
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BMJ Best Practice Nov 14
Failure to identify obesity in children, the primary risk factor for , results in missed opportunities for risk assessment, testing for and other obesity-related comorbidities, and counselling about lifestyle modifications.
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BMJ Best Practice Nov 13
Key risk factors for include cigarette smoking, alcohol abuse, exposure to human papillomavirus, smokeless tobacco, and chewing betel nuts.
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BMJ Best Practice Nov 11
that type II (mixed) cryoglobulinaemia is the most common variant in people with hepatitis C? Read more on the complications of
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BMJ Best Practice Nov 11
Replying to @BMJBestPractice
The answer is true. COPD is a significant risk factor for lung cancer. Approximately 1% of COPD patients develop lung cancer every year.
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BMJ Best Practice Nov 9
EMA’s safety committee recommends a 4-week limit for use of high-strength creams!
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BMJ Best Practice Nov 8
Is early detection of COPD important for lung cancer surveillance?
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BMJ Best Practice Nov 7
Crohn's disease is a condition is a disorder of unknown aetiology. Georgia Woodfield, SpR in Gastroenterology and General Medicine gives us an overview of the condition.
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BMJ Best Practice Nov 6
Everyone gets anxious from time to time, but if you worry so much that it stops you getting on with your life, you might need advice or treatment to help you feel less stressed
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BMJ Best Practice Nov 4
Replying to @BMJBestPractice
: Alpha-1 antitrypsin deficiency Approximately 15 percent of adults with alpha-1 antitrypsin deficiency develop cirrhosis. Pulmonary and hepatic manifestations include emphysema, COPD, and cirrhosis. Low alpha-1 antitrypsin levels and raised LFTs support the diagnosis
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BMJ Best Practice Nov 4
The life expectancy gap between men and women is decreasing, but several factors still work against , e.g. higher rates of smoking and drinking and the tendency not to seek help. Many leading causes of death in men are preventable
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BMJ Best Practice Nov 1
A 39yo man presents three times in 2 yrs with , thick, yellow phlegm and increasing exertional . He was a heavy smoker for 20 yrs. FEV1 = 40% of predicted. Abdominal palpation elicits a hard small liver. ?
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BMJ Best Practice Oct 31
Reaction occurs within seconds to minutes of ingestion, and rarely beyond 2 hours. Symptoms typically resolve within 4 to 12 hours spontaneously or may respond to epinephrine (adrenaline), antihistamines
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BMJ Best Practice Oct 30
The FDA has granted orphan drug designation to vocimagene amiretrorepvec for recurrent high-grade glioma, including and anaplastic astrocytoma. This is a grade IV right temporal glioblastoma.
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BMJ Best Practice Oct 29
Important Updates on : warns direct-acting antivirals can cause serious liver injury in patients with advanced liver disease
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BMJ Best Practice Oct 28
tomorrow. About half of patients with have abnormal diffusion imaging and increased early risk. But small posterior fossa ischemic strokes can be missed with diffusion-weighted MRI up to 48 hours after symptom onset.
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BMJ Best Practice Oct 25
Replying to @BMJBestPractice
This is FALSE. Total cholesterol, non HDL, and HDL can be measured in the NON-fasting state. Accuracy of LDL-cholesterol is also preserved between fasting and non-fasting states when the Martin-Hopkins formula is used, but was commonly underestimated when older methods used
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BMJ Best Practice Oct 25
levels must be measured in the fasting state
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