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Search Results for: symptom sorter

What GPs need to know about recovery after Covid-19 infection

…information and signposts resources for GPs and patients on physical and emotional recovery from Covid-19 infection.

04 May 2021

What GPs need to know about Covid-19 and mental health

…who are struggling to sleep in the context of Covid-19.

04 May 2021

In full: GP practice’s 16-page letter to patients

…or incorrect information on eConsults in order that their eConsult can be submitted through to us.

30 April 2021

Transmission

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30 April 2021

What GPs need to know about Covid testing, trials and research

…NIHR developing a consent for contact register, which was sourced from the NIHR and NHS England.

29 April 2021

What GPs need to know about Covid-19 symptom management

Our resources page on Covid-19 symptom management has a series of guides for you to explore, giving you a wealth of information to support your practice.

29 April 2021

GPs can safely write delayed antibiotic scripts for RTIs, finds study

…the severity of symptoms experienced among those given delayed instead of immediate antibiotics.

28 April 2021

Over one million people living with long Covid symptoms in UK, finds ONS

…are experiencing symptoms lasting more than four weeks after Covid-19 infection including fatigue, muscle pain and ‘brain fog’.

01 April 2021

Covid Oximetry @home

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29 March 2021

Majority of hospitalised coronavirus patients suffer long Covid post-discharge

…those had clinically significant symptoms of anxiety and depression and 12% had symptoms of post-traumatic stress disorder at the five-month follow-up.

25 March 2021

Fatigue lasting months most common long Covid symptom, finds NIHR review

At least one in ten patients experience ongoing symptoms three months after Covid-19 infection – with the most commonly reported problem being fatigue, a wide-ranging review has found.

16 March 2021

Workload survey live blog: ‘This workload feels unmanageable’

…still coming across lots of people every day with Covid symptoms, who haven’t considered it as a possibility nor arranged testing.

01 March 2021

Statins have no impact on muscle pain compared with placebo, finds GP study

…each two months they rated their muscle symptoms on a scale of 0-10.

24 February 2021

‘More than 40% of people suffer trauma following Covid-19′

…(PTSD) to an ‘extremely’ high degree.

11 February 2021

Symptom sorter – Loin pain

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10 December 2020

Your practice: How to pass the recorded consultation assessment

…so is more likely to allow you to demonstrate competence.

17 November 2020

Practices facing abuse: ‘I am almost at the point of quitting’

…temperature checks, symptom checks etc.

31 October 2020

Sending patients for a Covid swab: the clinical grey areas

…confirmed Covid-19, from countries all across Europe, demonstrated the most common symptoms to be fever (65%) and (not necessarily together) upper respiratory tract symptoms (54%).

26 October 2020

Symptom sorter: Dysuria

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26 October 2020

Key questions on chronic kidney disease

…into some sort of perspective.

20 October 2020

Being a patient in the time of Covid

…few risk factors and I figured the chances of my being overdiagnosed were higher than the chances of my being saved.

16 October 2020

CV clinic – Short QT Syndrome

…25% of patients had SQT1 and just under two-thirds had symptoms.

09 October 2020

We’re going to be snowed under

…significant fact that the Government’s mantra has flip-flopped from ‘steer clear of the health service unless you’re dying’ to ‘don’t ignore the slightest symptom because it might kill you’.

08 October 2020

What are the neurological manifestations of Covid and how do they present?

…burning, numbness, tingling and quite uncomfortable pain in their feet or in their arms – these symptoms are different from common post-viral arthralgia and myalgia Q.

28 September 2020

Red flag refreshers: Breathlessness

Breathlessness is a common symptom and the pandemic has obviously led to heightened awareness.

02 September 2020

CPD: Managing long-term Covid in general practice

…lasting effects of the infection, or have had the usual symptoms for far longer than would be expected.

02 September 2020

The tsunami of demand is here

…unexpectedly high levels of demand.

27 August 2020

Computers? Say no

‘symptom sorters’ and other supposedly helpful diagnostic apps; Dr Google himself; and many more.

26 August 2020

Government expands asymptomatic Covid testing programme

…PHE expects some preliminary results from the SIREN trial before the winter.

19 August 2020

Honey is ‘more effective’ than antibiotics for coughs, finds study

New research has found that honey is ‘more effective’ than ‘usual’ treatments such as antibiotics to treat symptoms of upper respiratory tract infections (URTIs).

18 August 2020

Fifth of GPs have had Covid-19, finds new survey

…10% reported finding it difficult to concentrate.

13 August 2020

‘Nearly two-thirds’ of NHS workers ‘may have had Covid-19 in spring’

…sense of taste and smell during the time period.

06 August 2020

Covid-19 risk three times higher among healthcare workers even with PPE

Frontline healthcare staff have a three-fold higher risk of Covid-19 infection even with adequate PPE, a study using data from a symptom tracker app has found.

31 July 2020

What do I need to know about skin manifestations of Covid-19?

…had other signs of Covid-19 when they developed skin symptoms but that approximately 3.

17 July 2020

Covid-19: atypical presentations, complications and long-term effects

symptoms (and no respiratory symptoms) may have a more severe course to their disease and be at greater risk of liver injury.

15 July 2020

Diagnosing asthma

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08 July 2020

The coronavirus diaries: A GP’s perspective

…same symptom over the phone.

02 July 2020

Is low mood a common symptom in the acute and recovery phase of Covid-19 infection?

An update on emerging evidence from a Consultant Neuropsychiatrist This information is sourced from Dr Tim Nicholson, Consultant Neuropsychiatrist Q.

29 June 2020

Managing IPF

…as well as provide more options for treatment and management, which could relieve the burden of symptoms, as well as potentially slow down disease progression.

25 June 2020

Non-Covid clinical crises: Possible cholesteatoma

…otitis externa will usually have symptom free periods when a normal tympanic membrane can be seen with the otoscope.

05 June 2020

Abnormal uterine bleeding

…by remote communication to: Confirm the symptom Be informed that a 2 week wait referral to secondary care will be made Determine if they have any symptoms of Covid-19.

21 May 2020

GPs have ‘critical role’ in homeless response to coronavirus, says NHS England

…‘where practically possible’ and provide remote health advice ‘where necessary’.

06 May 2020

Covid Symptom Tracker

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29 April 2020

Non-Covid clinical crises: New onset atrial fibrillation

Stroke risk assessment and management, rate control, symptom control and red flags for secondary care support.

27 April 2020

Non-Covid clinical crises: Adult DVT

…minimum.

20 April 2020

Non-Covid clinical crises: Women with abnormal uterine bleeding

…be managed by remote communication.

20 April 2020

GPs demand access to coronavirus testing for primary care staff

…even minor respiratory symptoms we risk infecting countless vulnerable patients.

16 March 2020

How a GP placement during medical school taught me the value of language

…thought it was finally time to get checked out, because his tiredness during the day was impacting his work.

21 February 2020

The human connection

…care.

18 February 2020

GPs need to feel more enabled to diagnose lung disease early

…diagnosis, and clarity in how to treat the symptom of breathlessness as well as the underlying causes, will ensure practitioners are better-equipped to recognise and manage this condition.

10 February 2020

CQC calls for NHSE to publish ‘safety test’ of triage apps amid warnings of variation

…addition, the Department of Health and Social Care should look into whether ‘safety-netting’ advice should be available to the public about how to use symptom checkers, said the CQC.

30 January 2020

Guideline of the month: Thyroid disease

…is usually good but that if treatment is changed, symptoms may not improve for several weeks or months.

28 January 2020

Eight legs good

…tiny Boris Johnson suspended on that zip wire.

23 January 2020

Pulse 2019 review: Hancock goes Back to the Future with AI

…boost AI and genomic testing in the NHS, and a national AI lab to help cut waiting times and detect diseases earlier.

23 December 2019

​Patients not being referred under two-week wait rule, data suggests

…– the most common symptom looked at – only 2% were sent through the two-week pathway, which the researchers said may be down to the ambiguous nature of the symptom….

26 November 2019

Ten top tips on dementia care

…dementia associated with Parkinson’s disease and learning disabilities.

06 November 2019

How GPs are being buried under secondary care work

…consultant for a related symptom.

29 October 2019

Anti-inflammatories can help curb symptoms of depression, study finds

…the anti-inflammatory agents were 52% more effective in reducing symptom severity than a placebo, and 79% more effective in eliminating symptoms.

28 October 2019

Patients may be waiting longer than ever but at least they are empowered

…a colonoscopy – because Dr Google has said, correctly, that the symptom could be a sign of colon cancer.

14 October 2019

CPD: Key questions on constipation

…a chronic condition? Constipation is a symptom-defined condition that is characterised by disordered defaecation, difficulty passing stools and often a sensation of incomplete emptying.

27 September 2019

Desert Island Drugs

…my experience it works better than the others.

20 September 2019

Taking a check on the symptoms checkers

Symptoms are tricky blighters.

02 September 2019

What happened when Pulse tested symptom checker apps

…would fear/assume the worst with potential to maximise symptoms; ‘non-anxious’ patients were the opposite.

30 August 2019

How to spot zebras – motor neurone disease

…tendon reflexes are typical lower motor neurone findings.

30 August 2019

Women expected to seek GP advice over new HRT study

symptom relief of menopause.

29 August 2019

Red flag refreshers – diarrhoea

…should include onset, duration, frequency and severity of symptoms.

23 August 2019

Better UTI tests needed to prevent overprescribing of antibiotics, say researchers

…receiving a second prescription for their UTI symptoms, the re-prescribing of the same antibiotic was seen ‘surprisingly frequently’ and increased over the period studied, they concluded.

14 August 2019

Patients to access health information through Amazon Alexa

…migraine?’ ‘Alexa what are the symptoms of flu?’.

10 July 2019

Red flag refreshers – cough

Cough is a common symptom, and one of the most frequent reasons for consulting a GP.

08 July 2019

Welcome to Planet Advanced Nurse Practitioner

…rational treatment of minor illness.

26 June 2019

Yeah, I know exactly what you are like

…absolutely always in reference to a symptom that not only should not have been presented sooner, but had no need to be presented at all.

06 June 2019

Dr Sarah Wollaston leaves Change UK after four months

…broken politics, it is a symptom of it.

05 June 2019

How GP workload is jeopardising patient safety

…a letter, or you don’t focus on the right symptom or ask the right question.

08 May 2019

Our experience of the NHS App

…where to go, its real power is its role in encouraging my reluctant patients experiencing worrying symptoms to see me sooner.

01 April 2019

Haematospermia – what next?

…a PSA is within normal limits.

12 March 2019

‘My stomach hurts when I eat’ – managing chronic pancreatitis

symptoms and a recent gastroscopy and abdominal ultrasound based on an earlier consultation were normal.

25 February 2019

Suspect laryngeal cancer in patients with sore throat and hoarseness, GPs urged

…combination with symptoms such as hoarseness, difficulty swallowing or ear pain increases the likelihood that a patient has laryngeal cancer and may warrant urgent referral, the authors said.

07 February 2019

How to spot zebras – pheochromocytoma

…Clues in the history might be the episodic nature of the symptoms with complete resolution between severe episodes of a cluster of symptoms.

02 January 2019

Babylon GP at Hand evaluation will not determine whether service is ‘safe’

…assessment’ of the artificial intelligence (AI) symptom checker the service uses to triage patients.

11 December 2018

‘I feel full so quickly!’ – managing functional dyspepsia

…suggest that a tricyclic antidepressant is favoured in patients with epigastric pain as the dominant symptom, and a prokinetic in patients with predominantly post-prandial symptoms.

10 December 2018

NHS claims IAPT programme had over 50% ‘recovery’ rate last year

…an IAPT treatment course experienced symptom improvement, based on self-reported questionnaire scores at the beginning and end of treatment.

20 November 2018

How to spot zebras – recognising narcolepsy

What is it? Narcolepsy is a long-term neurological disorder that causes, among other symptoms, a person suddenly to fall asleep at inappropriate times.

09 November 2018

GP practices could ‘go under’ if inundated with e-consultations, BMA warns

…such as eConsult and Wiggly Amps’ Engage Consult tool, rely on symptom checkers and online forms, which patients submit to their GP electronically.

01 October 2018

Your AI is no substitute for my USP

…what AI was.

30 September 2018

How to spot zebras – carcinoid syndrome

What is it? Carcinoid syndrome is a constellation of symptoms and clinical signs that can arise in patients with advanced neuroendocrine tumours (NETs).

28 September 2018

Tuberculosis could ‘soon be history’ as rates hit near 30-year low, says PHE

…delay between symptoms appearing and diagnosis for many patients and suggested that there needs to be more TB education among staff in general practice to reduce diagnostic delay.

25 September 2018

Advising on driving with medical conditions

symptoms might include a dry mouth, feeling weak, peri-oral or digital tingling amongst others.

20 September 2018

Babylon pledges £75m to develop AI for managing chronic conditions

…nearly 5,000 GP partners in a decade and 523 full-time equivalent GPs in since March.

13 September 2018

How technology is changing the GP consultation

…Claims of symptom checker advice being ‘on par’ with GPs Fresh concerns are now centring on artificial intelligence.

31 August 2018

The information – Raynaud’s phenomenon

…‘typical’ festival weather, she hadn’t expected a significant worsening of the symptoms in her hands – and, for the first time, in her feet, too.

20 August 2018

GPs ‘should use simple blood tests’ to improve early diagnosis of multiple myeloma

GPs should use simple blood tests to support symptoms when diagnosing patients with multiple myeloma, in order to improve early detection rates, researchers have said.

15 August 2018

What the future holds for GPs under NHS England’s contract reforms

…and treatment outside the surgery, via online symptom checking and remote consultation.

03 August 2018

How to spot zebras – retinoblastoma

…picked up on average around 24 months of age.

26 July 2018

Health secretary says Babylon-style GP model should become ‘available to all’

…their home or place of work via online symptom checking and remote consultation’.

20 July 2018

Government to partner with Amazon’s Alexa to offer NHS health advice

…voice-controlled devices relay information from the NHS Choices website to patients when they list their symptoms to the device.

20 July 2018

Patients across whole county set to consult with GPs electronically

…fill out a form on their practice’s website stating their symptoms, which will be reviewed by a GP and they will receive a response within one working day.

17 July 2018

Babylon claims its in-app clinical advice is ‘on par’ with GPs

symptom checker and provides patients with medical information and triage advice.

27 June 2018

An exercise in patience

…to be challenging.

12 June 2018

Dementia patients may be able to come off antipsychotics, study suggests

…had no effect on neuropsychiatric symptoms, and in five of the studies, discontinuation had little to no effect.

25 May 2018

E-consultations resolve ‘40-60%’ of GP consultations without attendance

…submit their symptoms electronically, was first trialled in 33 practices in Hull and East Riding.

23 May 2018

NICE reconsults on depression guidelines after experts warn of ‘significant flaws’

…for purpose and will seriously impede good patient care and patient choice’.

16 May 2018

The treatment – asthma

…combination of symptoms and peak flows – although for children, symptom-based PAAPs are usually recommended.

01 May 2018

NICE delays depression guideline labelled ‘not fit for purpose’ by GP expert group

…approach adopted) and this therefore puts the resulting treatment recommendations into serious question.

24 April 2018

Should your practice have a Facebook page?

…patients tell us about a condition or symptom, or ask a clinical question, but in four years of having the Facebook page they have never been public.

18 April 2018

GPs urged to suspect cancer in over-60s with weight loss

…will be of note to policymakers in developing symptom-based referral pathways for suspected cancer.

10 April 2018

Why not just rebadge 111 as 666

…would be set somewhere around the patient simply waking up that morning.

23 March 2018

GPs need more support to diagnose brain tumours early, say researchers

…the time from symptoms presenting to patients first visit to a specialist, with the type of symptoms experienced being a clear factor.

16 February 2018

New asthma guidelines – double trouble for GPs?

…wheeziness should be treated in the same way as chest pain, considered a serious symptom with the potential to kill.

06 February 2018

BMA considering ‘all legal options’ to challenge GP at Hand rollout

…the possibility of legal action.

29 January 2018

Instant wisdom – managing older patients

Five pearls 1.

13 December 2017

Over-55s may require ‘more regular’ asthma check-ups

People with asthma over the age of 55 years are the most likely age group in the UK adult population to experience ‘flare-ups’ of their symptoms, according to new research….

08 December 2017

The top five practice-changing papers of 2017

…Eczema symptom scores for each group showed similar levels of improvement over the following weeks, suggesting that the antibiotics did not play a clinically important role in recovery.

04 December 2017

NHS 111 apps send 20% fewer patients to GP than telephone service

…examine each of the pilots separately because they all use slightly different symptom checkers and they all use slightly different ways of determining the outcome.

23 November 2017

Babylon GP appointment app raises fears of patients ‘gaming’ system

…some people gaming the symptom checker to achieve a GP appointment.

21 November 2017

One-sided throat discomfort with dysphagia – what’s the diagnosis?

…imaging, characteristic symptoms and exacerbation of pain on palpation of the tonsil.

21 November 2017

NSAIDs less effective than antibiotics for UTI, study finds

…to their GP with symptoms of an acute UTI.

14 November 2017

Rheumatology clinic – hypermobility

…mobility or individuals can present with it associated with other symptoms.

13 November 2017

Can chatbots replace GPs?

…variations, including local dialects and slang, and this becomes especially tricky when trying to describe medical symptoms.

08 November 2017

Scared to eat in public – managing social anxiety disorder

…any significant past medical history.

07 November 2017

Are GPs suffering from ‘sepsis fatigue’?

…such serious complications.

24 October 2017

The gabapentin quiz

Question 1.

24 October 2017

‘Lifestyle medicine’ could revolutionise patient care

…new or added symptom and feeling the pressure to ‘hold’, prescribe or refer (e.

20 October 2017

GPs told to refer patients ‘out of county’ for four specialties due to staff shortages

…is a symptom of the underlying malaise within the NHS caused by a decade of underfunding.

09 October 2017

Actually, Prof, Dr Google is a god-send

…isn’t a heart attack.

05 October 2017

Ten top tips – 24 hour ECGs

…not be expected to correlate with symptoms.

18 September 2017

Do cancer awareness schemes do more harm than good?

…to see their GP if a cough lasts three weeks or longer, form a major part of the Government’s drive to improve cancer survival.

18 September 2017

Let’s start with a crack down on noctor prescribing

…illness is to carefully establish cause rather than brainlessly treat symptoms.

06 September 2017

GPs urged to seek earlier endometriosis diagnosis in first-ever NICE guideline

…aware of symptoms and create management plans tailored to the patient’s symptoms and preferences rather than the stage of their endometriosis, as staging classifications are typically not well-defined.

06 September 2017

Don’t use steroids for chest infections, GPs advised

…or the severity of the accompanying symptoms between two and four days after treatment in the prednisolone group compared with the placebo group.

22 August 2017

Referral of the month – recurrent vertigo

…the symptoms.

21 August 2017

What to look for in a GP partnership

…GP with every trivial symptom.

17 August 2017

GPs should delay antibiotic prescriptions for sore throat, experts advise

GPs should use delayed antibiotic prescriptions for sore throats as there is little difference in overall symptom control when prescriptions are delayed versus given immediately, experts have advised.

16 August 2017

Key questions on chronic pain (1 CPD hour)

…also interrupts sleep, employment and social and physical activities and reduces quality of life.

26 July 2017

Dr Sue Martin: A consultation with your GP? Priceless

…people were taking them for a reason.

03 May 2017

Dr Mary McCarthy: Elementary? I don’t think so Ms May

…Restricted Scope of Practice’.

03 May 2017

The treatment – HRT and other options for menopausal flushes

…the cream has any benefit on hot flushes, bones or the endometrium.

03 May 2017

GPs have seen ‘75,000’ patients following charity breathlessness campaign

…how easily they get out of breath.

13 April 2017

Clinical round-up: April

…of Cardiff found antibiotics provided little to no advantage over topical corticosteroids in clearing up mildly infected eczema.

06 April 2017

New risk tool helps GPs identify bowel cancer in under-50s, finds study

…to GPs to consider the likelihood of an individual patient having a serious bowel condition given the symptom or combination of symptoms they present with.

28 March 2017

GPs urged to avoid prescribing antibiotics for infected eczema

…also prescribed a topical corticosteroid and emollients.

20 March 2017

Continuity is dead. Now what?

…continuity.

08 March 2017

GPs warned off-label antidepressant prescribing ‘lacks evidence’

…for which indications, but also that contraindications and a lack of effective treatments for symptom-based conditions could mean they are turning to off-label antidepressants as a last resort.

27 February 2017

Key questions on knee and ankle injuries (1 CPD hour)

…settle inflammation), compression and elevation (to keep swelling to a minimum).

14 February 2017

GPs should decline Valentine’s Day gifts and cards, say legal advisers

…are further advances’, she added.

14 February 2017

Develop an online symptom checker

What we did I developed a symptom checker on our website.

06 January 2017

#GPnews: Patients urged to be more like ‘Gary’

…time as well.

15 December 2016

Clinical round-up: November

…23 symptom checkers.

28 October 2016

Ten top tips – coping with multimorbidity

…to NICE can include: Defined physical and mental health conditions such as diabetes and schizophrenia.

27 October 2016

GP beware – upper GI symptoms

…physical, than a functional disorder.

21 October 2016

GPs twice as good as apps at diagnosing illness, study finds

…cases to test the accuracy of 234 GPs against 23 symptom checkers.

13 October 2016

NICE multimorbidity guidance – key recommendations

…people, to identify drug-related safety concerns and medicines the person might benefit from starting.

21 September 2016

If only patients were preoccupied with the right sort of detail

…appointment really does mean you have missed it and when a doctor asks how long you have had a symptom the answer should start with a number.

15 September 2016

#GPnews: BMA in ‘total mess’ over junior doctor strikes

…of patient safety fears.

07 September 2016

Hunt: Patients to register with GPs and receive health advice through app

…and maternity care, he will say.

07 September 2016

Obscure diagnosis – oesophageal spasm

…and dysphagia to gastro-oesophageal reflux disease.

05 September 2016

Austerity? You ain’t seen nothing yet

…down on its plan to freeze outpatient referrals until March 2017 amid widespread condemnation from GPs and others.

02 September 2016

How do I deal with an overly-concerned parent?

…investigation, with a less invasive approach they consider appropriate.

31 August 2016

Orthopaedic clinic – winged scapula

…disorder in as many as 90% of affected patients.

24 August 2016

Obscure diagnosis – hemicrania continua

…that had settled in her early 20s.

28 July 2016

Cancer chiefs override NICE guidance over fears of missed GP diagnoses

…omitted them – despite these cancers making up a fifth of cases of head and neck cancers.

26 July 2016

What I learned about chronic fatigue syndrome from my research project

…history-taking and recognition of a characteristic pattern of symptoms.

15 July 2016

Child UTI score ‘better than clinical diagnosis’

A new symptoms-based clinical rule is better at predicting children who have a UTI than GPs’ clinical judgement, say UK researchers.

11 July 2016

GP leaders fear breathlessness campaign will cause practice overload

…a symptom of chronic obstructive pulmonary disease, heart disease and a range of other conditions)’.

08 July 2016

Obscure diagnosis – vulvodynia

…during her menstruation.

17 June 2016

Orthopaedic clinic – osteomyelitis

…through a sinus.

07 June 2016

Hold it, now breathe…why GPs are angry over asthma diagnosis

…dispensed for no good reason, and have become almost a fashion accessory.

01 June 2016

Tough consultations: Breaking bad news

…a former president of the Medical Women’s Federation Female patient in her 50s, a smoker, has had a suspicious chest X-ray, which you need to discuss with her.

05 May 2016

Ten top tips – eating disorders

…alone has increased at an average rate of 7% year on year since 2009, but many GPs will say that they don’t see many patients with such symptoms.

04 May 2016

Obscure diagnosis – orthostatic tremor

…sarcoidosis, seronegative arthropathy and a total hip replacement.

29 April 2016

How will the Forward View affect general practice?

…and symptom checkers from NHS Choices to the practice website can safely help patients with minor self-limiting illnesses to mange their own health, and reduce demand for appointments.

26 April 2016

​How BTS/SIGN and NICE guidelines differ on asthma diagnosis

…and start a carefully monitored trial of treatment (typically six weeks of inhaled corticosteroids).

13 April 2016

Obscure diagnosis – chronic testicular pain

…has used a condom and has no urethral symptoms or signs.

05 April 2016

NICE: GPs should develop individual care plans for patients with multimorbidity

…multimorbidity guidance a key step towards realising this aim.

31 March 2016

Obscure diagnosis: exploding head syndrome

…in transition phases.

02 March 2016

How to solve a problem like acopia?

…and mystery (isolated night sweats, no other symptoms).

02 February 2016

‘Striking is just something doctors should not do’

We are supposed to be professionals and patient focused.

12 January 2016

Referral of the month – the diarrhoeal diabetic

…blame, as the dose had been increased around the time her symptoms developed, but temporary discontinuation did not improve matters.

05 January 2016

Obscure diagnosis – painful bladder syndrome

Case history Mrs M is a 36-year-old lady and mother of a 15-year-old.

22 December 2015

Do we need gatekeepers for the gatekeepers?

…may get a ‘chance’ card and advance directly to ‘go’ because they have a red flag symptom.

18 December 2015

NICE encourages GPs to consider ‘inherent uncertainty’ at end of life

…are also important elements around symptom control and anticipatory prescribing, moving from a proforma approach for medications to tailored prescribing linked to expected symptom development.

16 December 2015

Ten top tips – LUTS in men

…and voiding symptoms.

25 November 2015

Most cancer diagnostic delays ‘due to patients presenting late to GP’, says NICE chief

…who come to an emergency appointment convinced that they have cancer with a symptom which has been present for years or even decades, but they ignore new and important symptoms.

02 November 2015

Ten top tips – erectile dysfunction

…may suggest low testosterone ED may be the presenting symptom of hypogonadism.

21 October 2015

The information – menopausal flushes

…experience these symptoms for seven years, with 42% of women aged 60 to 65 still experiencing symptoms.

09 October 2015

GPs’ diagnostic skills could be obsolete within 20 years, says Hunt

…for the last two millenia is that you wait until you have a symptom and then a doctor tries to interpret the symptom.

06 October 2015

How allowing one million patients to consult their GP online solved our appointments shortage

…were enriched with self-management tools like symptom checkers and self-help materials.

05 October 2015

34. Professor Willie Hamilton

…University of Exeter has been diligently working for years on a symptom-based model for diagnosing cancer.

24 September 2015

Who wants to see their GP on a Saturday, anyway?

…for a mild symptom to come along, like an itchy ear or a sweaty armpit, so we could get out for a bit.

10 September 2015

Ten top tips – discharging ear

1.

09 September 2015

TV campaign aims to identify ‘thousands’ with undiagnosed coeliac disease

symptoms of coeliac disease, such as frequent bouts of diarrhoea, fatigue and stomach pain.

07 September 2015

Respiratory clinic – non-productive cough and joint pain

…most common presenting symptoms are cough or breathlessness.

23 July 2015

Diary of a part time GP, 7 April 2022

…catarrhal symptoms.

20 July 2015

NHS money wasted, doctors demand 20% sugary drink tax and older women unaware of breast cancer symptoms

…are unclear about the symptoms of breast cancer, as public health chiefs launch another awareness campaign aimed at those aged 70 and over.

13 July 2015

Minister says NHS should be like Asda, online symptom checkers miss one in eight emergencies, and overweight teens think they’re healthy weight

…as many as one in eight emergencies could be being missed by patients relying on online symptom checking tools like those on NHS Choices.

09 July 2015

The information – obstetric cholestasis

The patient’s unmet needs (PUNs) A 25-year-old woman, 34 weeks into her first pregnancy, attends in distress.

03 July 2015

Referral of the month – polymyalgia rheumatica

Dear consultant, Thank you for seeing this 70-year-old lady with symptoms suggesting polymyalgia, but who has not responded in the usual way to steroids.

01 July 2015

NICE has missed a key opportunity to improve early cancer diagnosis

It’s a step forward that NICE are recommending better access to diagnostic tests for GPs and have moved to a more symptom-based, rather than cancer-based approach.

25 June 2015

The treatment – insomnia

…disturbance and daytime tiredness.

03 June 2015

GPs set to be incentivised for referrals to talking therapies as NICE endorses QOF indicator

…diagnosis would be expanded to capture symptom-based codes as well as firm depression or anxiety diagnoses codes.

02 June 2015

Dr Emma Nash: Why my plea to patients on Facebook hit home

…patients every 10 minutes.

21 May 2015

Symptom sorter – hand and wrist pain

The GP overview This may be the presenting problem but just as often it is a ‘while I’m here’ symptom.

20 May 2015

GP consultations for depression have risen since financial crisis hit

…are increasingly moving towards symptom rather than diagnostic codes for depression, such that less than half of patients with symptoms were on the QOF register of depression.

20 April 2015

Symptom sorter – thirst or dry mouth

…Keith Hopcroft is a GP in Laindon, Essex.

13 April 2015

Women don’t seek help with breast cancer symptoms, elderly left ‘struggling’ by social care cuts, and hospitals to require proof of citizenship

Almost a fifth of women diagnosed with breast cancer waited more than a month before consulting their GP about a potential symptom, potentially delaying their treatment.

13 April 2015

GP beware – obstetrics

…no other relevant medical history, and is currently well with no symptoms.

30 March 2015

Is the cancer diagnosis drive actually hurting our patients?

…monster that is, “‘here’s an imaging option for every symptom’.

18 March 2015

Symptom sorter – episodic loss of consciousness

…will require a pacemaker.

11 March 2015

Cancer risk tool rolled out to over 4,000 GP practices

…to patient records.

03 March 2015

Outdoor-smoking ban ‘paternalistic’, WW1 explosive could treat diabetes, and can too much sleep really kill?

…out that this is a correlational effect and that over sleeping could simply be a symptom of an underlying condition, and the causative mechanism is unknown.

27 February 2015

Symptom sorter – abnormal movements

…Keith Hopcroft is a GP in Laindon, Essex.

25 February 2015

‘Doctors don’t take sick leave’

…of the symptom iceberg like their lives depend on it.

16 February 2015

Some GPs ‘come out with rubbish’ around mental health, says health and care minister

…will make a massive difference, to treat the whole person rather than one symptom at a time.

11 February 2015

The treatment – osteoarthritis

…and symptom reporting are inconsistent.

11 February 2015

‘The fitness-to-practise process may do more harm than good’

…2014 from the GMC, saying it had decided to investigate a complaint.

02 February 2015

GPs ‘bullied’ into bulk prescribing flu medicine to whole care homes without necessary testing

…deal with side effects from patients who had not had flu symptoms in the first place.

09 January 2015

Symptom sorter – cough in children

…Keith Hopcroft is a GP in Laindon, Essex.

16 December 2014

Symptom sorter – cough in adults

…Keith Hopcroft is a GP in Laindon, Essex.

02 December 2014

Neurology clinic – transient global amnesia

A 68-year-old lady with a background of hypertension presents to her GP with sudden-onset memory loss that began earlier that day.

25 November 2014

GP cancer referrals on the front pages and UK spends more on obesity than war

…The Independent reports that GPs are not expected to recognise every single symptom, and lower thresholds could allow earlier diagnoses in these marginal patients.

20 November 2014

GP urgent cancer referrals to soar as NICE lowers threshold for symptoms

…lot of cancer symptoms can be very general and similar to those of other conditions.

20 November 2014

Patients get in the way of our work

…an hour of symptom hell.

13 November 2014

Resources

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06 November 2014

Working with refugees and asylum seekers

…in person or via a telephone link.

29 October 2014

Much tattoo about nothing

…more people in more walks of life with tattoos is simply a symptom of growing older.

20 October 2014

National ‘blood in pee’ campaign relaunched from today

…profile support from these Premier League clubs.

14 October 2014

Frequent GP visits linked to late lung cancer diagnosis

…key symptom is coughing, which is present with numerous other conditions that GPs see every day.

13 October 2014

Neurology clinic – motor neurone disease

…an X-ray showed mild osteoarthritis.

30 September 2014

Beta blockers ‘should not be prescribed in patients with both atrial fibrillation and heart failure’

…the symptomatic or tachycardic AF patients and have to accept that there is no prognostic benefit.

02 September 2014

Patients accessing PPI on general sale may miss vital GP check-ups, BMA warns

…are more effective than other indigestion products and could mask more serious conditions.

19 August 2014

Ten top tips – shingles

…aciclovir Ideally, the regimen should be started within three days of the rash developing, in order to reduce symptom duration and reduce the risk of post-herpetic neuralgia.

07 August 2014

Paracetamol ‘no better than placebo’ for acute low-back pain, claim researchers

…found no differences for a range of secondary outcomes – including pain intensity, disability, symptom change and function.

24 July 2014

The information – otitis externa

…to recommend that the patient stops applying ear drops if they begin to experience this symptom.

23 July 2014

Algorithm provides accessible tool for assessing menopausal women

…options, symptom management and patient review, and a brief supporting document.

11 July 2014

GPs to ensure dying patients have individual care plans as part of Liverpool Care Pathway replacement

…‘An individual plan of care, which includes food and drink, symptom control and psychological, social and spiritual support, is agreed, co-ordinated and delivered with compassion.

26 June 2014

GMC rules shackle GPs who want to care for their kids

Like many doctors, I have a habit of underplaying the symptoms of serious illness amongst family members.

04 June 2014

Are older patients being overtreated?

…not sure we’re making people healthy by giving them all these drugs.

03 June 2014

GPs’ gut feelings more predictive than check lists, researchers say

…to present with specific alarm symptoms to qualify for immediate referral.

27 May 2014

The real cost of the 48-hour target

…80% to just 40% now.

13 May 2014

What not to do – gastroenterology

…family history of colorectal cancer as a criterion for referral in symptomatic patients with symptoms of rectal bleeding.

30 April 2014

How not to miss – myeloma

…of Afro-Caribbean ethnicity.

23 April 2014

Stopping smoking ‘as effective as antidepressants’ at improving mood

…baseline and follow-up in people who quit compared with people who continued to smoke.

13 February 2014

CBT effective for schizophrenia patients who refuse antipsychotics

…at least nine months of follow-up – was the Postive and Negative Syndrome Scale (PANSS).

06 February 2014

Turning people into patients

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06 February 2014

Dilemma: DES losses row

…be a symptom of stress, burn-out or underlying problems.

06 February 2014

The information – perennial rhinitis and nasal polyps

The patient’s unmet needs (PUNs) A 43-year-old man attends complaining bitterly about his bunged up nose.

15 January 2014

GPs ‘blocked from referring for bariatric surgery’

…services will not be in place in parts of Nottinghamshire until August next year, leaving GPs with nowhere to refer to.

05 December 2013

Independent’s alright

…the problems in primary care demonstrate at best naivety, and at worst, a hidden agenda.

29 November 2013

The information – restless legs syndrome

…sensations in the legs.

28 November 2013

Hospital care ‘no better since Mid Staffs’, concerns over brain bleed treatment delay and a ‘super pill’ for diabetes

…some areas, with GPs failing to recognise severe headache as a potential symptom and only 18% of patients undergoing a neurological examination when admitted to hospital.

22 November 2013

Weight loss improves atrial fibrillation symptoms

Intensive weight loss programmes can significantly reduce atrial fibrillation symptoms in overweight and obese patients, according to a study published this week.

19 November 2013

How not to miss transient ischaemic attack

…that the symptoms of TIA are often brief.

12 November 2013

GP cancer referral support tool to be rolled out nationwide next year

…this tool will support GPs to identify the symptoms of cancer and help to improve cancer survival rates.

05 November 2013

Morning symptoms in COPD significantly associated with poor quality of life

…with symptom scores of breathlessness and chest tightness significantly increased in patients experiencing symptoms in the morning.

25 October 2013

Obs & gynae clinic – sepsis in pregnancy and the puerperium

…deterioration of the pregnant patient can be rapid and catastrophic.

24 October 2013

GPs must get behind the Be Clear on Cancer campaign and raise diagnosis rates

…both diseases is the relative lack of symptom awareness – when asked to name cancer signs and symptoms, only a third of people mention unexplained bleeding.

18 October 2013

Over a third of TIA patients being seen twice before referral for assessment

…patients, 11 (8%) attended the clinic within 24 hours of symptom onset.

16 October 2013

Obs & gynae clinic – obstetric cholestasis

…ago, although since then her symptoms have become more generalised.

02 October 2013

Specific probiotics provide benefit in IBS and antibiotic-associated diarrhoea

…were on IBS and antibiotic-associated diarrhoea.

05 September 2013

Analysis: The vanishing options for chronic pain

…outweigh the benefits of any gain in symptom control’.

04 September 2013

Steroid injections ‘reduce risk of surgery’ in carpal tunnel syndrome

…receive either 80mg of methylprednisolone, 40mg of methylprednisolone, or placebo.

04 September 2013

Toolbox – ABCD2 score for TIA

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03 September 2013

Structural solutions to functional problems: we need more than just symptom contol

…are rarely more than symptom control (to use a medical analogy), they also distract us from sorting out the underlying problems.

26 August 2013

The Information – GORD

…bending over.

08 August 2013

Five steps to maximise income through accurate coding

…will put a patient on the depression register, whilst ‘depressed’ is counted as a symptom and so will not.

31 July 2013

Perspectives in palliative care – specialist palliative care

…preference, better symptom management and empowering generalists.

24 July 2013

CRP testing ‘reduces antibiotic use’

…recruited 370 primary care patients aged from 18 to 86 years who initially presented to their GP with cough, phlegm or feeling generally unwell.

08 July 2013

Lung cancer campaign relaunched after showing 14% increase in detection rates

…the previous campaign are really encouraging, but awareness levels of a persistent cough as a symptom of lung cancer are still low.

02 July 2013

How not to miss – temporal arteritis

…than men.

27 June 2013

Somatic symptoms have ‘greatest impact’ on quality of life in heart disease

…86 patients being bothered a lot of by the symptoms.

25 June 2013

Awareness campaigns like ‘Be Clear on Cancer’ have demonstrable benefit

…patients presented with relevant symptoms per practice per week.

19 June 2013

How not to miss – ovarian cancer

…women over 50 years with symptoms that have started within the preceding 12 months 3.

13 June 2013

Surgery ‘benefits patients with severe OCD’

…12 and 24 months and last follow up (a mean of seven years after surgery).

05 June 2013

Third of patients presenting at A&E ‘could be treated by GPs’

…pressure in our A&E departments is a visible symptom of a whole system under great strain and tackling it requires a whole-system solution.

15 May 2013

Oral evening primrose oil ‘of no benefit’ in eczema

…to improve global eczema symptoms compared with placebo, as reported by both patients and doctors, based on a variety of measures of eczema symptom change.

30 April 2013

Dutasteride use ‘halves risk of BPH progression’

Treatment with dutasteride in men with only mild symptoms of benign prostatic hyperplasia may prevent future complications associated with the condition, suggest researchers.

29 April 2013

How not to miss – cervical cancer

…and post-menopausal bleeding.

03 April 2013

Nein, Nein, Nein

…no messing.

27 March 2013

Toolbox – Centor criteria for sore throat

…– which would weight decisions in favour of prescribing in these cases.

21 March 2013

The information – Ménière’s disease

…episodes – which have been treated symptomatically – and that she has also described tinnitus and deafness.

18 March 2013

How not to miss – pre-eclampsia

…affects 2-3% of pregnancies overall and one in 200 pregnancies severely.

15 March 2013

The information – Bell’s palsy

…for this type of symptom? The classical Bell’s palsy history is of a short duration.

28 February 2013

Dropping the ball: a case of ‘missed’ diagnosis

…don’t mind giving second opinions.

22 February 2013

Will aptitude tests do more than paper over the cracks in the NHS?  

…if their input is genuinely valued will maintain and even increase their ‘aptitude’.

19 February 2013

How not to miss – type 1 diabetes in children

…may display less-specific symptoms and a high index of suspicion is warranted in these children.

13 February 2013

GPs refer most cancers ‘after one or two visits’

…diagnosis but at the cost of more false positives, patient anxiety and overinvestigation.

08 February 2013

Ten top tips – tinnitus

…is due to heightened awareness of electrical activity in the auditory system that is normally not perceived.

04 February 2013

Paediatric clinic – recurrent respiratory papillomatosis

…affected since birth – this age of symptom occurrence is very rare indeed.

31 January 2013

Ten top tips – the limping child

…3.

17 January 2013

Tricky ten minutes – ‘how can I stop my constant migraines?’

…well-recognised constellation of symptoms.

17 January 2013

The Friends and Family Test

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11 January 2013

How we reduced COPD admissions by 37 per cent

…taking salbutamol/anticholinergic products had been switched to salbutamol alone as this was the PCT directive at the time.

21 December 2012

Valaciclovir and famciclovir ‘best for shingles’

…with herpes zoster diagnosed within 72 hours of symptom onset.

10 December 2012

Practice managers pushed into sick leave amid rising work pressures

…everything there comes a point when the practice is just saturated.

07 December 2012

Paediatric clinic – Kawasaki disease

A mother presents with her six-month-old, who has a two-day history of fever, vomiting, rash and poor feeding.

05 December 2012

Monday morning

…generally applied to asymptomatic women, for a symptom, chest pain, which isn’t a symptom of the thing she’s worried about, which is breast cancer, which she clearly doesn’t have.

26 November 2012

The information – pruritus in the elderly

…he’s keen for you to prescribe something to ease the symptom.

20 November 2012

How can more people be helped to die at home?

…we studied received a nine hour day or overnight visit from nurses or healthcare assistants.

19 November 2012

Ten top tips in heart failure

…co-morbidities require close monitoring and holistic care.

07 November 2012

Early initiation of HRT ‘halves risk of death or CVD’

…and the start of HRT.

06 November 2012

The only thing I’ve ever pulled in surgery is an ingrowing toenail

…Why am I missing out? It can’t be my looks (check out the pic accompanying my blogs).

05 November 2012

NHS Health Checks cancer awareness pilot picks up only four patients

A Government-backed pilot programme including questions about cancer symptoms in the NHS Health Check scheme has only picked up four patients with cancer.

22 October 2012

Gluten free diet ‘improves coeliac disease symptoms’

A gluten-free diet improves multiple outcomes for patients with coeliac disease, say Swedish researchers.

22 October 2012

Tricky ten minutes – ‘what diet should I follow for my IBS?’

…usually made on the basis of the history – long-standing symptoms including change in bowel habit associated with abdominal pain, in the absence of alarm symptoms.

17 October 2012

Tiotropium beats LABA in COPD

…– a 12% decrease in risk with tiotropium compared to LABA.

27 September 2012

Ten top tips – Chronic pain

…pain.

25 September 2012

Researchers develop bladder cancer risk score

…the condition.

19 September 2012

Daily steroid inhaler ‘not needed for mild asthma’

…or work and exacerbation of symptoms and attacks between the three groups.

13 September 2012

Admiration for a stranger

…the patient wherever possible (the pain was ‘like being hit with a golf club’).

12 September 2012

Stepping down inhaled ß-agonists ‘reduces asthma control’

…down LABA treatment with no change in therapy and found it resulted in fewer symptom-free days and reduced quality of life, compared with continued use.

06 September 2012

The information – hyperhidrosis

The patient’s unmet needs (PUNs) A 25-year-old man presents complaining of excessive sweating.

04 September 2012

Time-warp diagnosis

…era of time compression, they can diagnose lactose intolerance within 72 hours of symptom onset.

29 August 2012

In three weeks, we’ll all be dead

…main symptoms of bowel cancer is ‘loose poo for three weeks or more’.

29 August 2012

In three weeks, we’ll all be dead

…main symptoms of bowel cancer is ‘loose poo for three weeks or more’.

28 August 2012

Give us GPs some credit

…clever label for every symptom you’ll need to man the barricades with syndrome-spouting specialists.

27 August 2012

In praise of pauses

…it during consultations.

27 August 2012

Yes, it might be lung cancer

symptom to its logical conclusion.

17 August 2012

NICE cancer referral criteria ignore GPs’ ‘sixth sense’, RCGP cancer lead warns

…but it really only addresses alarm symptoms, and 50% of patients don’t have alarm symptoms.

02 August 2012

International prostate symptom score (IPSS)

Click here to view the IPSS, a seven-item questionnaire that asks patients to rate the occurrence of common LUTS.

24 July 2012

A deficiency of evidence

…vitamin D levels are checked on the basis of a wide variety of non specific symptoms.

18 July 2012

Four ways to stay clear of age discrimination

…that the elderly are more likely to be susceptible to influenza and this could justify targeting age groups for the flu jab.

11 July 2012

Ten top tips – vertigo

…are covered in Key questions on hearing problems.

02 July 2012

Steriods ‘effective for three weeks’ in sinusitis

Intranasal corticosteroids are effective in reducing symptoms of acute sinusitis short-term, say the authors of a UK analysis.

08 June 2012

‘Three-week cough’ campaign under fire from GP cancer leads

…people attending primary care and a 16% increase in chest X-ray referrals.

01 June 2012

ENT clinic – Ramsay Hunt syndrome

…acyclovir and steroids, then discharged with a two-week course of oral acyclovir and steroids.

27 April 2012

ENT clinic – acoustic neuroma

…be questioned closely for other symptoms – such as dizziness, balance problems, headache, tinnitus and facial symptoms – which they may feel are insignificant.

10 April 2012

Revealed: NHS Direct plan for patients to book GP appointments online with NHS 111

…by NHS Direct suggested patients could use a website, or even a smartphone app, to book their own GP appointments after first using an ‘online symptom checker’.

13 March 2012

GPs must take the lead if NHS 111 is to succeed

…the 10 million who use the online symptom checkers) really appreciate the service and follow its advice.

09 March 2012

Symptom impossible on chronic scrotal pain (1 CPD hour)

Urologist Mr Chris Dawson discusses chronic scrotal pain, a symptom that can typically leave GPs stumped.

06 March 2012

Symptom impossible on chronic pelvic pain (1 CPD hour)

GUM consultant Dr Olwen Williams discusses chronic pelvic pain, a symptom that can turn a patient into a heartsink.

06 March 2012

The information – shingles

…it may be worth checking for any apparently unrelated symptoms that could suggest an additional diagnosis.

14 February 2012

The information – carpal tunnel syndrome

…severe symptoms, once symptoms have been present for a year, in patients with diabetes and in the elderly.

06 February 2012

Nine ways to set up your practice to combat domestic violence

…health problems such as depression, medically unexplained symptoms such as tiredness, gynaecological conditions such as chronic pelvic pain and chronic conditions such as irritable bowel syndrome.

31 January 2012

Last-minute QOF coding pointers

…the depression area – for instance, ‘depression’ is a diagnostic code, while ‘depressed’ is a symptom and is not counted towards the indicator.

24 January 2012

GPs should use ‘instinct’ to identify childhood cancers

…Cancer alert symptoms in children SYMPTOM                          POSITIVE PREDICTIVE VALUE (PER 1,000) Headache                            0.

20 January 2012

The information – Trochanteric bursitis

…condition, and does physiotherapy have a role? Generally GTPS is a self-limiting condition and symptoms settle with conservative treatment, but patients should be advised that symptoms may persist.

10 January 2012

Why squaddies are drunks, Eurocrats want to regulate prunes and Andrew Lansley thinks management gurus can save the NHS

…story about the resignation of the chairman of the Medical Staff Committee in North Cumbria as an example of the squeeze on hospital activity.

15 December 2011

How we improved our end-of-life procedures

…is dying and are so unprepared Consequences: Patient managed at home, great improvement in symptom control, family in control, no crisis admissions.

10 November 2011

Non-adherence prompts post-school holiday surge in child asthma episodes

…exposure over summer and good symptom control might cause patients to step-down steroids, leaving them more vulnerable to exacerbations on return to school.

04 November 2011

Eye clinic – Retinitis pigmentosa

…preserved until the fifth or sixth decade.

03 November 2011

Why are this man’s fingers changing shape?

…of being hypothyroid.

03 November 2011

Ten top tips on oral ulcers

…difficult to distinguish from each other in the mouth as they can all cause widespread erosions and blisters.

03 November 2011

Carotid-cavernous fistula

…the cavernous sinus.

20 October 2011

Women with polycystic ovaries ‘more likely to have pregnancy complications’

…Related articles Symptom impossible on chronic pelvic pain (1 CPD hour) Key questions on pelvic inflammatory disease (1.

20 October 2011

Five ways to enhance a heart failure redesign

…a positive effect on outcomes such as hospitalisation, exercise tolerance, symptom severity, quality of life scores and all-cause mortality for up to five years.

07 September 2011

GP referrals for chronic catarrh ‘of no use’

…chronic catarrh, postnasal drip or throat clearing.

06 September 2011

NHS Direct to offer medical advice via Facebook

…directed to an official NHS Direct symptom service, such as the online symptom checker of telephone services.

27 July 2011

Why did this child appear to have a dirty neck?

…child’s case the underlying cause may well have been his obesity.

28 June 2011

What has NHS 111 ever done for us?

…handlers do.

27 June 2011

Hypomania checklist (HCL-32)

This is the HCL-32 screening tool for researchers trying to find people with bipolar disorder.

25 May 2011

A GP guide to neurological referrals

…referral to neurology is not necessarily the most appropriate.

11 May 2011

Ten top tips on multiple sclerosis

…The most common symptoms are limb numbness and weakness, visual disturbance (blurred or double vision) and imbalance.

11 May 2011

Tremor

…– seen as a fine action tremor.

11 May 2011

Antidepressant scripts rise by 40%

…today as a symptom of the economic downturn.

07 April 2011

Cameron puts brake on NHS reforms, bowel cancer ignorance and the ‘ladies man who can never make love’

…found that two-thirds of men and almost half of women could not name a symptom of the disease.

31 March 2011

Tiotropium cuts COPD hospitalisation risk by a third

…adrenergic and cholinergic.

30 March 2011

GPs trial electronic cancer risk scores

…likelihood of a patient’s symptoms being a possible diagnosis of either colon or lung cancers, helping guide referral decisions.

21 March 2011

Bowel cancer guidance ‘no better than chance’ in under-50s

…bowel cancer symptoms, according to leading UK cancer researchers.

14 March 2011

Non-cancer palliative care

…therapeutic options, and to facilitate shared decision making between those affected and their health professionals.

09 March 2011

Symptom management in palliation

…for persistent symptoms needs to be given regularly rather than prn.

08 March 2011

Simpler drug labels, home-grown brain cells and Facebook diagnosis

…a few questions, Dr Barton diagnosed the rash as a symptom of acute lymphotic leukaemia.

04 March 2011

Market principles have no place in the NHS

…turned to the hospital letter, and this seemed to be a list of increasingly erudite investigations that had not elucidated the problem, nor had it dealt with the symptom.

23 February 2011

Why did this man have a sore throat and inflamed tonsil?

…a 60-year-old infrequent attender.

16 February 2011

Rescue steroids ‘effective in children with controlled asthma’

…using it for symptom relief, say researchers.

15 February 2011

The mistakes we make

…early phase, with non-specific symptoms, from the generality of minor symptom management.

15 February 2011

Symptom sorter on anorectal pain

…in Gorleston, Norfolk Pulse readers can buy Symptom Sorter, Fourth Edition at the special price of £19.

02 February 2011

Key learning points on ENT

…well to paracetemol or an NSAID.

12 January 2011

ENT malignancies

…walls of the sinonasal cavity.

12 January 2011

Top five clinical articles

…penis an STI? 2.

23 December 2010

Dyspareunia

symptoms.

08 December 2010

Key learning points

…URTI and will not need any investigations.

10 November 2010

Challenges in COPD

…airway inflammation leading to permanent damage of the lung.

10 November 2010

A new paradigm for adult cough

…The symptoms of postnasal drip appear to bear no relation to coughing and the diagnosis relies on response to first-generation antihistamines.

10 November 2010

Symptom sorter on runny nose

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03 November 2010

Symptom sorter on feeling tense and anxious

…drug history; abuse or withdrawal may be the cause of, or contributor to, the symptoms.

27 October 2010

NICE endorses wider use of clopidogrel

…the professional body of opinion for some time.

25 October 2010

Ten top tips on palliative care

…for what might happen.

20 October 2010

No antibiotic class stands out in treatment of LRTIs

…and amoxicillin.

18 October 2010

Symptom sorter on the febrile child

Every day GPs have to make sense of tricky sets of symptoms.

13 October 2010

Complex regional pain syndrome

…more of the categories below• no other diagnosis can better explain the signs and symptoms.

06 October 2010

Difficult pain scenarios

symptoms.

06 October 2010

Itchy or irritating eyes or eyelids

…an extract from the fourth edition of Symptom Sorter.

29 September 2010

PPIs associated with ‘raised cardiovascular event risk’

…vascular effects.

22 September 2010

Improving the quality of GI care in GP surgeries

…disease and GORD had either no symptoms or mild symptoms.

08 September 2010

A 74 year old man with acute onset visual symptoms

…and central; it now significantly impedes his ability to read and perform activities of daily living.

02 September 2010

In pursuit of a good night’s sleep

…Western medicine, insofaras it lasted well beyond the time that the treatment was used.

19 July 2010

Why is this woman’s skin yellow?

…a pill-related issue.

14 July 2010

Ten Tips on managing hoarseness

It’s a common symptom but can signal serious pathology.

26 May 2010

Ten tips on managing dizziness

…Recurrent episodic vestibular symptoms (attacks).

18 May 2010

Green light for combination BPH pill

…a new once-daily combination pill, is being introduced to combat disease progression and provide symptom relief.

11 May 2010

Punishment from the gods

…all the physical characteristics of an out-of-town mail sorter or a brooding office clerk.

30 April 2010

CBT improves symptom tolerance in RA; Chronic pain linked to cardiovascular risk; Adult weight gain linked to breast cancer

Our weekly round-up of the latest research from recent medical conferences.

27 April 2010

When evidence-based medicine evaporates

…a health visitor; apnoea monitors; symptom diaries; room temperature monitoring; weekly, sometimes daily, weighing? Wow, you’d think.

26 April 2010

Licorice and a dose of marshmallow tea

Dr Karine Nohr looks at alternative approaches to help with a common problem – dyspepsia.

19 April 2010

Hard-to-treat hay fever

…weather.

03 March 2010

Leg pain and cold extremities ‘red flags for meningitis’

By Lilian Anekwe Leg pain and cold extremities have emerged as leading ‘red flag’ symptoms in identifying children presenting with meningococcal disease in a large UK general practice study.

01 March 2010

Acupuncture ‘is better than drugs’ for period pain

…acupuncture was significantly better than pharmacological treatment.

19 February 2010

Patient-oriented eczema measure

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15 February 2010

GPs advised against urine test for UTIs

…then measured patients’ symptom severity, duration and use of antibiotics.

12 February 2010

GPs promised software to aid cancer diagnosis

By Lilian Anekwe The Department of Health has promised to provide GPs with a simple computer-based tool to help them spot patients with early cancer symptoms.

05 January 2010