Una Bergin,Richard M Lynch
Una Bergin
ECG interpretation is an essential skill in the management of the acutely unwell patient and in addition to history taking and physical examination has been shown to have a significant effect on referral patterns to cardiologists. One of th...
Case Reports
The Practitioner. 2017 Feb;261(1801):23-6. DOI: 2017
Declan B Keenan,Declan M ORourke,Aisling E Courtney
Declan B Keenan
Acute pyelonephritis is suggested by the constellation of fever (temperature ≥ 38.5° C), flank pain (typically unilateral), nausea and vomiting, and costovertebral angle tenderness. Complaints typical of lower UTI are variably present. Th...
Oonagh McCloskey,Alexander P Maxwell
Oonagh McCloskey
Nephrotic syndrome is defined by a triad of clinical features: oedema, substantial proteinuria (> 3.5 g/24 hours) and hypoalbuminaemia (< 30 g/L). It is often associated with hyperlipidaemia, thromboembolism and an increased risk of infecti...
Jonathan Rees
Jonathan Rees
Editorial
The Practitioner. 2017 Feb;261(1801):5. DOI: 2017
Eva E OGrady,Dominic M Power
Eva E OGrady
The close proximity of contraceptive implant placement to the course of the ulnar nerve can result in injury. Several factors have been implicated in this complication including: low BMI, erroneous placement of the implant, implantation ove...
Claire Owens,Philip G Conaghan
Claire Owens
Osteoarthritis has become a major chronic pain condition. It affects more than 10% of adults and accounts for almost 10% of health service resources. The impact of osteoarthritis is amplified by underuse of effective muscle strengthening ex...
Review
The Practitioner. 2016 Dec;260(1799):17-20. DOI: 2016
Olwyn Jones,Fraser Birrell
Olwyn Jones
Polymyalgia rheumatica (PMR) is a common inflammatory condition of unknown aetiology with a prevalence of 1 in 133 in the over 50s, and a female to male ratio of 2:1. Symptoms develop over a matter of weeks; typically bilateral shoulder or ...
Review
The Practitioner. 2016 Dec;260(1799):13-6. DOI: 2016
Jonathan Rees
Jonathan Rees
Editorial
The Practitioner. 2016 Dec;260(1799):5. DOI: 2016
Nicola Salmon,Michael J Tidman
Nicola Salmon
Actinic, or solar, keratosis is caused by chronic ultraviolet-induced damage to the epidermis. In the UK, 15-23% of individuals have actinic keratosis lesions. Risk factors include: advanced age; male gender; cumulative sun exposure or phot...
Review
The Practitioner. 2016 Oct;260(1797):25-9. DOI: 2016
Joyee Basu,Sanjay Sharma
Joyee Basu
Acute coronary syndrome (ACS) includes both ST (STEMI) and non ST elevation (NSTEMI) MI, and unstable angina. The common pathological process underlying MI involves thrombus formation on top of a complex atheromatous plaque, resulting in pa...
Review
The Practitioner. 2016 Oct;260(1797):19-23. DOI: 2016