Interpreting an isolated raised serum alkaline phosphatase level in …
Apr 3, 2013 · This article discusses the most common causes of raised alkaline phosphatase levels in an asymptomatic patient and provides advice on the relevant investigations. #### Learning points If alkaline phosphatase is raised in an asymptomatic patient and serum bilirubin, liver transaminases, creatinine, adjusted calcium, thyroid function, and blood count are normal: …
Interpreting iron studies | The BMJ
Jun 15, 2017 · Interpreting Iron Studies - June 29, 2017. Alison U Kelly, specialty registrar in chemical pathology1, Stephen T McSorley, clinical research fellow2, Prinesh Patel, general practitioner3, Dinesh Talwar, consultant clinical scientist1. Author affiliations. Department of Biochemistry, Glasgow Royal Infirmary, Glasgow, UK.
Low back pain and sciatica: summary of NICE guidance - The BMJ
Jan 6, 2017 · Low back pain is the leading cause of long term disability worldwide. 1 The lifetime incidence of low back pain is 58-84%, 2 and 11% of men and 16% of women have chronic low back pain. 3 Back pain accounts for 7% of GP consultations and results in the loss of 4.1 million working days a year. 2 More than 30% of people still have clinically significant symptoms after …
Quality improvement into practice | The BMJ
Mar 31, 2020 · Definitions of quality improvement. Improvement in patient outcomes, system performance, and professional development that results from a combined, multidisciplinary approach in how change is delivered. 3. The delivery of healthcare with improved outcomes and lower cost through continuous redesigning of work processes and systems. 4.
Chronic obstructive pulmonary disease: diagnosis and ... - The BMJ
Jul 29, 2019 · There are 1.3 million people in the UK with a diagnosis of chronic obstructive pulmonary disease (COPD) and the condition is responsible for considerable morbidity and mortality. 1 COPD is also a common cause of hospital admission. NHS England has now recognised respiratory disease as a priority area in the Long Term Plan, 2 but Royal College of …
How to approach the mental state examination | The BMJ
May 8, 2017 · A mental state examination (MSE) gives you a snapshot of a patient’s emotions, thoughts, and behaviour at the time of observation. 1 It can help you identify the presence and severity of a variety of mental health conditions and the risk a patient poses to him- or herself, or to others. Performing an MSE is a skill you will need to be ...
Avascular necrosis of the hip | The BMJ
May 30, 2019 · Mean age of presentation in the UK is 58.3 years, with a prevalence of two per 100 000 patients. 2 On average, AVNFH occurs earlier in life than typical osteoarthritis. It is more common in men and the highest prevalence is in men aged 25 to 44 and women aged 55 to 75. 3 In the UK it is the third most common indication for total hip replacement ...
Writing a case report in 10 steps - The BMJ
May 27, 2015 · Writing up. Write up the case emphasising the interesting points of the presentation, investigations leading to diagnosis, and management of the disease/pathology. Get input on the case from all members of the team, highlighting their involvement. Also include the prognosis of the patient, if known, as the reader will want to know the outcome.
Glioblastoma: clinical presentation, diagnosis, and management
Jul 14, 2021 · Glioblastoma is the most common primary brain cancer. Standard treatment includes maximal safe resection followed by concomitant radiotherapy and temozolomide chemotherapy and then adjuvant temozolomide. Disease progression is expected in all cases and consideration of further treatment should take into account the patient’s performance ...
Essential tremor: diagnosis and management - The BMJ
Aug 5, 2019 · Essential tremor is one of the most common movement disorders in adults and can affect both children and adults. An updated consensus statement in 2018 redefined essential tremor as an isolated action tremor present in bilateral upper extremities for at least three years. Tremor may also be present in other locations, commonly the neck or the vocal cords. Patients …