Interpreting iron studies | The BMJ
Jun 15, 2017 · #### What you need to know A 63 year old woman visits her doctor with a three month history of fatigue and generalised joint pains. Her medical history is unremarkable and she reports no recent stress, infection, or weight loss. There are no abnormalities on clinical examination. Haemoglobin, creatinine, and electrolytes, liver enzymes, glucose, inflammatory …
Quality improvement into practice | The BMJ
Mar 31, 2020 · Box 1 Definitions of quality improvement. Improvement in patient outcomes, system performance, and professional development that results from a combined, multidisciplinary approach in how change is delivered.3 The delivery of healthcare with improved outcomes and lower cost through continuous redesigning of work processes and systems.4 …
Gout: diagnosis and management—summary of NICE guidance
Aug 30, 2022 · ### What you need to know Gout is a painful and debilitating condition with long term complications, including joint damage and renal stones. Although gout flares are often treated with NSAIDs, colchicine or steroids, those with gout often continue to have flares which could have been prevented with lifestyle modification or urate lowering medication. However, …
Low back pain and sciatica: summary of NICE guidance - The BMJ
Jan 6, 2017 · Low back pain is the leading cause of long term disability worldwide. 1 The lifetime incidence of low back pain is 58-84%, 2 and 11% of men and 16% of women have chronic low back pain. 3 Back pain accounts for 7% of GP consultations and results in the loss of 4.1 million working days a year. 2 More than 30% of people still have clinically significant symptoms after …
Postural hypotension - The BMJ
Apr 23, 2021 · ### What you need to know Postural hypotension, also called orthostatic hypotension, is an abnormal drop in blood pressure on standing. It impairs quality of life and increases risk of falls, cardiovascular disease, depression, dementia, and death.1234 Early detection in patients with symptoms or certain risk factors may prevent some of these …
Essential tremor: diagnosis and management - The BMJ
Essential tremor is one of the most common movement disorders in adults and can affect both children and adults. An updated consensus statement in 2018 redefined essential tremor as an isolated action tremor present in bilateral upper extremities for at least three years. Tremor may also be present in other locations, commonly the neck or the vocal cords. Patients with …
Management of pneumonia in critically ill patients | The BMJ
Dec 6, 2021 · Severe pneumonia is associated with high mortality (short and long term), as well as pulmonary and extrapulmonary complications. Appropriate diagnosis and early initiation of adequate antimicrobial treatment for severe pneumonia are crucial in improving survival among critically ill patients. Identifying the underlying causative pathogen is also critical for …
The BMJ: Leading Medical Research, News, Education, Opinion
High impact medical journal. Champion of better research, clinical practice & healthcare policy since 1840. For GPs, hospital doctors, educators, policymakers.
Diabetic ketoacidosis in adults | The BMJ
Oct 28, 2015 · #### What you should know Diabetic ketoacidosis (DKA) is an extreme metabolic state caused by insulin deficiency. The breakdown of fatty acids (lipolysis) produces ketone bodies (ketogenesis), which are acidic. Acidosis occurs when ketone levels exceed the body’s buffering capacity (figure⇓).1 2 Diabetic ketoacidosis may follow absolute insulin deficiency or …
Management of perimenopausal and menopausal symptoms
Aug 8, 2023 · Most women worldwide experience menopausal symptoms during the menopause transition or postmenopause. Vasomotor symptoms are most pronounced during the first four to seven years but can persist for more than a decade, and genitourinary symptoms tend to be progressive. Although the hallmark symptoms are hot flashes, night sweats, disrupted sleep, …