journal
MENU ▼
Read by QxMD icon Read
search

Clinical Medicine: Journal of the Royal College of Physicians of London

journal
https://www.readbyqxmd.com/read/29858450/corrigendum-t3-or-not-t3-a-poetic-guide-to-the-thyroid-exam
#1
Jamie Patel, Pierre Berger
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858449/response
#2
Mark Ellul, Michael Griffiths, Fiona Mcgill, Tom Solomon
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858448/comment-on-cme-infectious-diseases
#3
Humphrey Dl Birley
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858447/response
#4
Miguel Pereira, Siân Williams, Louise Restrick, Paul Cullinan, Nicholas S Hopkinson
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858446/flu-related-absence-a-small-proportion-of-all-cause-sickness-absence
#5
Frank O'Reilly, Peter Noone
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858445/which-crystalloid-does-fluid-choice-influence-patient-outcomes-in-sepsis
#6
Sam Roberts
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858444/beware-of-thromboembolic-risk-in-obese-patients-on-direct-oral-anticoagulants-doacs
#7
Indrajit Chattopadhyay, Vedamurthy Adhiyaman, Suhani Ghiya
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858443/are-we-doing-enough-to-detect-paroxysmal-atrial-fibrillation-after-an-acute-ischaemic-stroke-survey-of-cardiac-monitoring-methods-among-stroke-physicians
#8
Philip Thomas, Craig Smith, Amit Kishore
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858442/responding-to-nice-developing-a-regional-sepsis-pathway
#9
Jo Murray, Andrew Brent
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858441/image-of-the-month-gastropericardial-fistula
#10
Matteo Gandalini, Sylke Liebig, Felix Zwicker, Marcus Schuchmann, Markus Juchems
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858440/lesson-of-the-month-2-an-unusual-adverse-reaction-associated-with-pramipexole
#11
Yasmina Tashkent, Vinod Aiyappan
Dopamine agonists such as pramipexole are commonly used in the treatment of restless legs syndrome (RLS) as well as Parkinson's disease. Pramipexole's common side effects are well documented; however, adverse skin reactions are less well known. In this case, a 45-year-old male farmer presented with excessive daytime tiredness and reported a history suggestive of RLS. He was initiated on pramipexole but developed a maculopapular erythematous rash in sun-exposed areas 8 days after its commencement. The skin rash resolved following pramipexole's cessation and it is thought the patient experienced a drug-induced photosensitivity reaction to pramipexole...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858439/lesson-of-the-month-1-to-stop-a-fit-but-swinging-low
#12
Osakpolor Ogbebor, Ankit Agrawal, Balaji Yegneswaran
This is a case of an elderly woman who presented to our emergency room with an episode of a witnessed fall. The past medical history of the patient was significant for post-stroke epilepsy for which she was on oxcarbazepine. Initial blood work showed a white cell count of 4.5, haemoglobin of 12.4, and platelet count of 15,000. Peripheral blood smear showed normal platelet and red cell morphology without clumping. The patient's history suggested that she was recently started on oxcarbazepine prompting discontinuing of the drug...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858438/a-case-of-myopericarditis-caused-by-neisseria-meningitidis-w135-serogroup-with-protracted-inflammatory-syndrome
#13
Alex J Keeley, Daniel Hammersley, Sukhbir S Dhamrait
Meningococcal pericarditis is classically divided into three separate entities: isolated meningococcal pericarditis, disseminated meningococcal disease with pericarditis, and reactive (immunopathic) meningococcal pericarditis. We present the case of a 74-year-old woman with meningococcal septicaemia with meningococcal myopericarditis, which demonstrates crossover features.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858437/cme-gastroenterology-113045-self-assessment-questionnaire
#14
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858436/non-alcoholic-fatty-liver-disease
#15
James Maurice, Pinelopi Manousou
Non-alcoholic fatty liver disease (NAFLD) has a global prevalence of about 25%. Incidence is increasing with rising levels of obesity, type 2 diabetes and the metabolic syndrome, and NAFLD is predicted to become the leading cause of cirrhosis requiring liver transplantation in the next decade. However, the cardiovascular disease is the most common cause of death and only a minority will develop fibrosis and liver-related complications. Therefore, it is imperative to identify patients with advanced disease using non-invasive markers of fibrosis, which include serology-based tests (eg NAFLD Fibrosis Score and ELF test) and imaging (eg transient elastography)...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858435/investigation-of-iron-deficiency-anaemia
#16
Sonia Bouri, John Martin
Iron deficiency anaemia (IDA) is an important, common clinical condition and 8-15% of these patients will be diagnosed with a gastrointestinal cancer. IDA is defined as haemoglobin below the lower limit of normal, in the presence of characteristic iron studies. This article will discuss the causes and clinical diagnosis of iron deficiency, including interpretation of common laboratory tests that differentiate this from other causes of anaemia. We suggest an initial approach for investigating the cause of iron deficiency in these patients and also consider the subsequent treatment and indications for further investigation...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858434/-clostridium-difficile-infection-and-antibiotic-associated-diarrhoea
#17
Benjamin H Mullish, Horace Rt Williams
Antibiotic-associated diarrhoea is among the most common adverse events related to antibiotic use. Most cases are mild, but Clostridium difficile infection causes a spectrum of disease, ranging from occasional diarrhoea to colitis, toxic megacolon, and potentially death. Recent developments in our understanding of the biology of the gut microbiota have provided new insights into the pathogenesis of these conditions, and have revealed a role for manipulation of the gut microbiota as a novel therapeutic approach...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858433/crohn-s-disease-management-in-adults-children-and-young-people-concise-guidance
#18
Gloria Sz Tun, Sarah Cripps, Alan J Lobo
Crohn's disease (CD) is a chronic inflammatory condition of the gastrointestinal tract. Individuals with CD present with acute inflammatory exacerbations as well as acute and chronic complications. Management requires specialist input from gastroenterologists, colorectal surgeons, nurse specialists and pharmacists as well as general and primary care physicians to allow appropriate selection of treatment options including surgery and rapid assessment and treatment of those with acute exacerbations. Monitoring of the individual and their medication is crucial in preventing and recognising complications including those associated with treatment...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858432/what-is-the-evidence-base-for-fluid-resuscitation-in-acute-medicine
#19
Adam Seccombe, Elizabeth Sapey
Intravenous fluids are commonly prescribed but uncertainty remains about how to assess when fluids are required and how much to give, particularly in our multimorbid, polymedicated and ageing population. Furthermore, studies have noted that fluid resuscitation can be harmful even if clinical evidence of hypervolaemia is not present. Two recent guidelines have acknowledged a limited evidence base to guide fluid assessment. A recommended means to assess hypovolaemia includes assessment of fluid responsiveness...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29858431/point-of-care-ultrasound-pocus-unnecessary-gadgetry-or-evidence-based-medicine
#20
Nicholas Smallwood, Martin Dachsel
Over the last decade there has been increasing interest and enthusiasm in point-of-care ultrasound (POCUS) as an aide to traditional examination techniques in assessing acutely unwell adult patients. However, it currently remains the domain of a relatively small handful of physicians within the UK. There are numerous reasons for this, notably a lack of training pathways and supervisors but also a lack of understanding of the evidence base behind this imaging modality. This review article aims to explore some of the evidence base behind POCUS for a number of medical pathologies, and where possible compare it to evidenced traditional examination techniques...
June 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
journal
journal
39481
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"