Cardiology: Non-vitamin K antagonist oral anticoagulants
Clinical

Cardiology: Non-vitamin K antagonist oral anticoagulants


Non-vitamin K antagonist oral anticoagulants (NOACs) are novel direct-acting medications that are selective for one specific coagulation factor, either thrombin (IIa) or activated factor X (Xa).  NOACs have now been integrated into CCG formularies for GPs to prescribe as part of a shared care agreement with a cardiologist/haematologist since NICE approved — specifically — rivaroxaban, dabigatran, and apixaban for use in the … Continue reading

Cancer as a long-term condition by Dr Ishani Patel
Clinical / Education and CPD

Cancer as a long-term condition by Dr Ishani Patel


The latest evidence suggests that 1 in 2 people will get cancer and 50% of adult cancer patients who were diagnosed in 2010-2011 in England and Wales are predicted to survive 10 or more years. Therefore these increased diagnoses and longer survival rates show us that long term management is becoming more significant. The proportion … Continue reading

NICE antibiotic guidelines ignore locum GPs
Clinical / Education and CPD

NICE antibiotic guidelines ignore locum GPs


   by  estherase  The Armageddon of antibiotic resistance is upon us.  Leading antimicrobial expert David Cameron has warned of a world of ‘medical dark ages’ unless action is taken. ‘Action’ always means action against GPs.  GPs don’t mind; we’re used to people taking a shot at us.  Anyway, we’re pretty up for it now the GMC … Continue reading

Polycystic ovaries can be a conundrum as patients can vary across a spectrum in their presentation. Here are some top tips!
Clinical / Education and CPD

Polycystic ovaries can be a conundrum as patients can vary across a spectrum in their presentation. Here are some top tips!


1. PCOS presentation varies across the life span. Hyperandrogenic features are often most prominent among adolescents, while fertility issues are most prominent among women in their 20s and 30s. Metabolic challenges most notable after this. The propensity to weight gain and psychological challenges affect all ages, and metabolic features can occur early, especially among those … Continue reading

Guest Post: ‘Cough and the Larynx’ – Miss Romana Kuchai, ENT Consultant, Bupa Cromwell Hospital
Clinical

Guest Post: ‘Cough and the Larynx’ – Miss Romana Kuchai, ENT Consultant, Bupa Cromwell Hospital


This month we have a guest post by Miss Romana Kuchai, Consultant ENT Surgeon at Bupa Cromwell Hospital. Miss Kuchai presented at our recent ENT CPD event held at the Royal Institution of Great Britain. Her talk covered key issues pertaining to role of the larynx in cough and how to avoid common misdiagnoses in … Continue reading