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Case report 18/07/2019

An early presentation

An early presentation

Time to read article: 2 mins
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Baby T was eight weeks old when his mother brought him to his GP’s morning surgery. His mother had become increasingly concerned about his general irritability and frequent crying episodes, which lasted up to two hours. These had become apparent over the past three days, not settling with breast feeding.

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Case report 18/07/2019

Back again with cauda equina syndrome

Back again with cauda equina syndrome

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When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement.

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Articles and features 07/01/2019

When patients miss appointments – should DNA mean Does Need Appointment?

When patients miss appointments – should DNA mean Does Need Appointment?

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When patients fail to attend an appointment, it can be hugely frustrating for a number of reasons. It is also very costly, according to recent NHS England data that suggests up to 15 million general practice appointments are being wasted each year – at an estimated cost to the NHS of £216 million.

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Case report 25/10/2017

Living up to expectations

Living up to expectations

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Mr G was a 62-year-old office worker; he was overweight (BMI 29) and suffered from exercise-related angina. Mr G had several risk factors for ischaemic heart disease including smoking, diabetes mellitus and hypercholesterolaemia. Following a positive exercise test, a coronary angiography confirmed triple vessel coronary artery disease with a left ventricular ejection fraction of 45%. He was referred to Mr F, a consultant cardiothoracic surgeon, for consideration of coronary artery bypass graft (CABG) surgery.

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Casebook 30/08/2017

Opinion: Failure to test for HIV infection: A medicolegal question?

Opinion: Failure to test for HIV infection: A medicolegal question?

Time to read article: 5 mins
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Dr Michael Rayment and Dr Ann Sullivan, Department of Sexual Health and HIV Medicine, Chelsea and Westminster NHS Foundation Trust (on behalf of the British Association for Sexual Health and HIV, and the British HIV Association).

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Articles and features 29/08/2017

Rising nurse claims

Rising nurse claims

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MPS has seen a steady rise in the number of claims involving practice nurses, with ‘delay in diagnosis’ being the most common type of claim. Kate Taylor, Clinical Risk Manager, MPS Educational Services, reveals more

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Casebook 29/08/2017

Nasogastric tube errors

Nasogastric tube errors

Time to read article: 10 mins
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Nasogastric tubes are widely used in the world’s hospitals, yet in spite of fierce campaigning to expose the dangers, patients are still dying from the complications of wrongful insertion. Sara Williams and MPS medicolegal adviser Dr Gordon McDavid explore how to avoid these risks.

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Casebook 29/08/2017

We need to talk about death: Complaints about end of life care

We need to talk about death: Complaints about end of life care

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When treating a patient who has reached the end of life, clear communication and collective decision-making are as important as any clinical intervention, says Sarah Whitehouse

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Casebook 29/08/2017

The worst of times

The worst of times

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Unemployment reduces wellbeing. Recession raises the demands on healthcare systems and makes it harder to pay for them. Doctors worldwide are having to adapt and change to cope with these additional pressures, says Sarah Whitehouse

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Case report 14/07/2017

A failure to monitor

A failure to monitor

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Retired engineer Mr S, 77, went to see his GP, Dr J, with symptoms of dizziness. He had returned from a pacemaker check at the hospital that morning and while travelling home on the train he had started to feel off-balance. He managed to get an emergency appointment to see Dr J, by which time the symptoms were resolving.

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Advice booklet 04/07/2017

An essential guide to Consent

An essential guide to Consent

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Consent is a fundamental principle of medical law. The basic rule is simple: no-one has the right to touch anyone else without lawful excuse and if doctors do so it may well undermine patients’ trust.

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