Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Abigail Davis talks about advice for patients with chronic kidney disease. Emma Scott discusses the latest guidance on interstitial lung disease. And Matt Castleden updates us on covid-19 testing for healthcare workers. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj...
May 21, 2020•12 min
Schizophrenia onset is usually in early adulthood and may be preceded by years of ill-differentiated symptoms, from behavioural changes and delusions to frank psychosis. Initially, patients are usually referred by family members. As the illness progresses, patients tend to self-refer or are brought in by a case manager or law enforcement officer. Antipsychotic therapy and psychosocial interventions are effective for most patients, but to varying degrees. Adrian Preda, Professor of Clinical Psych...
May 20, 2020•14 min
Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden covers dermatological manifestations of covid-19. Emma Scott discusses the latest guidance on CPR. And Abigail Davis talks about advice for newborn care. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context of COVID-19: bestpractice.bmj.com/topics/en-gb/3000190 BMJ Best Practice's topic...
May 14, 2020•11 min
Irritable bowel syndrome symptoms include recurrent abdominal pain or discomfort that is associated with a change in stool frequency or form. The pain or discomfort may be relieved by defecation. Ned Synder, Chief of Gastroenterology and Hepatology, Kelsey-Seybold Clinic and Clinical Professor of Medicine, Baylor College of Medicine, Houston gives us an overview of the condition. For more on IBS, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/122 - The purpose of this podcast is to e...
May 14, 2020•15 min
In this podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clincial guidance related to covid-19. Emma Scott covers the latest on routine immunisation. Abigail Davis discusses advice on thromboembolism and advice on mental health care for healthcare workers. And Matt Castleden summarises the current standing on contact tracing. For more, see: BMJ Best Practice's topic on management of coexisting conditions in the context ...
May 07, 2020•13 min
Atrial fibrillation is chaotic and irregular atrial arrhythmia, the prevalence of which increases progressively with age. It causes significant morbidity and death. Many patients are asymptomatic or have symptoms that are less specific for cardiac arrhythmias, such as mild dementia or silent strokes. Gregory Lip, Price-Evans Chair of Cardiovascular Medicine, University of Liverpool, gives us an overview of the condition. For more on atrial fibrillation, visit BMJ Best Practice: bestpractice.bmj....
Apr 30, 2020•23 min
In our new weekly podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Best Practice and BMJ Learning to summarise how clinical guidance is changing in response to covid-19. Matt Castleden discuss the latest advice on PPE and testing, and also an alert on an acute, atypical presentation of covid-19 in children. Abigail Davis summarises advice on palliative care, and on IBD. And Emma Scott covers guidance on perinatal care. For more, please see: BMJ Best Practice's topic on mana...
Apr 30, 2020•15 min
In our new weekly podcast, Kieran Walsh, clinical director at BMJ, asks editors from BMJ Best Practice and BMJ Learning to summarise how clinical guidance is changing in response to covid-19. Abigail Davis discuss the latest advice on rheumatological conditions, and that on prescribing contraception. Emma Scott covers new guidance for managing COPD in the community, and also for the use of nebulisers. And Suchita Shah talks about RCGP and BMA advice on prioritising GP workload. For more, please ...
Apr 23, 2020•17 min
In this podcast, editors from BMJ Best Practice and BMJ Learning cover this week's major covid-19 clinical updates. Matt Castleden and Abigail Davis, both Section Editors at BMJ Best practice and BMJ Learning, discuss the latest guidelines on PPE, clinical frailty scoring, silent hypoxia, and community-acquired pneumonia. The RCP state that NEWS2 should be used when managing patients with COVID 19: rcplondon.ac.uk/news/news2-and-deterioration-covid-19 Read the NICE pneumonia guidance here: nice....
Apr 16, 2020•14 min
Tension-type headaches can be either episodic or chronic. They are rarely disabling or associated with any significant autonomic phenomena, thus patients do not usually seek medical care and usually successfully self-treat. Unlike migraine, there is no significant nausea, no vomiting, and a lack of aggravation by routine physical activity. In this podcast Mark Green, Professor of Neurology, Anesthesiology and Rehabilitation Medicine, Director of Headache and Pain Medicine, Icahn School of Medici...
Apr 15, 2020•12 min
Rheumatoid arthritis is a chronic, erosive arthritis that requires early and aggressive treatment. In this podcast, Yusuf Yazici, Clinical Associate Professor of Medicine, New York University School of Medicine, gives us a clinical overview of the condition. For more on rheumatoid arthritis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/105 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended...
Apr 06, 2020•15 min
Osteoporosis is a complex skeletal disease characterised by low bone density and micro-architectural defects in bone tissue, resulting in increased bone fragility and susceptibility to fracture. In this podcast, Opinder Sahota, Professor of Orthogeriatric Medicine & Consultant Physician, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, gives a clinical overview of the condition. For more on osteoporosis, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/85 ...
Mar 19, 2020•15 min
Suicide is not inevitable. Most people experiencing suicidal thoughts are ambivalent about dying but may be unable to imagine other potential solutions. With the right support people can find their way through a suicidal crisis and recover. In this podcast, Alys Cole-King, Clinical Director 4Mental Health and Consultant Liaison Psychiatrist, Glan Clwyd Hospital, Wales, talks us through managing those with suicidal thoughts, and why we need a paradigm shift in suicide risk assessment that moves a...
Mar 04, 2020•25 min
Adult attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder presenting with inattentiveness, impulsivity, and hyperactivity, persisting into adulthood. It is characterised primarily by inner restlessness rather than hyperactivity; impatience; sensation seeking and excessive spending rather than impulsivity; inattention; and functional impairment with underachievement and disorganisation. Marios Adamou, Consultant Psychiatrist, South West Yorkshire NHS Partnership Found...
Feb 12, 2020•18 min
Postnatal depression refers to a depressive illness following childbirth and may form part of a unipolar or, less frequently, a bipolar illness. Ian Jones, Professor of Psychiatry, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, gives us an overview of the condition. For more on postnatal depression, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/512 - The purpose of this podcast is to educate and to inform. The content of this podcast does not cons...
Jan 30, 2020•18 min
Hypertension is a common disorder that affects a large proportion of the community. It is usually asymptomatic and is detected on routine examination or after the occurrence of a complication such as a heart attack or stroke. In this podcast Gregory Lip, Price-Evans Professor of Cardiovascular Medicine, University of Liverpool, UK, and Senior Investigator, National Institute for Health Research, UK, gives up an overview of the condition. For more on hypertension, visit BMJ Best Practice: bestpra...
Jan 15, 2020•21 min
Heart failure is a complex clinical syndrome resulting from the impaired ability of the heart to cope with the metabolic needs of the body, resulting in breathlessness, fatigue, and fluid retention. Approximately half of patients with heart failure have normal, or near-normal, left ventricular ejection fraction and are classified as having heart failure with preserved ejection fraction. Gerald Carr-White, Consultant Cardiologist, Guys and St Thomas’ NHS Foundation Trust, UK, gives us an overview...
Jan 02, 2020•14 min
Crimean-Congo haemorrhagic fever (CCHF)is a notifiable condition, and outbreaks have occurred in Asia, Africa, and Southeast Europe. It resents as a sudden-onset, severe illness with initial influenza-like symptoms, red eyes, and petechiae leading to signs of haemorrhage around day 4. In this podcast, Tom Fletcher, Wellcome Trust/MoD Research Fellow, Liverpool School of Tropical Medicine, UK, gives us a clinical overview of the virus. For more on CCHF see BMJ Best Practice: bestpractice.bmj.com/...
Dec 04, 2019•12 min
Alzheimer's disease is a chronic neurodegenerative disease with an insidious onset and progressive but slow decline. It is the most common type of dementia. Judith Neugroschl, Assistant Professor of Psychiatry, Mount Sinai School of Medicine, New York, gives us a clinical overview of the disease. For more on Alzheimer's, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/317 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical...
Nov 27, 2019•15 min
According to NICE, two thirds of people aged 65 or over have more than one medical condition, and 47% have three or more. Martin Cowie, Professor of Cardiology, Imperial College London, discusses how comorbidities are a big problem for the health service, and how they should be approached. For more on BMJ Best Practice's Comorbidities Tool, see bestpractice.bmj.com/info/comorbidities - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medica...
Nov 05, 2019•15 min
Crohn's disease is a condition is a disorder of unknown aetiology, with common presenting symptoms including chronic diarrhoea, weight loss, and right lower quadrant abdominal pain mimicking acute appendicitis. Georgia Woodfield, SpR in Gastroenterology and General Medicine, Imperial College Healthcare NHS Trust, gives us an overview of the condition. For more on Crohn's disease, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/42 - The purpose of this podcast is to educate and...
Oct 31, 2019•16 min
Characterised by upper and lower respiratory tract symptoms of rhinorrhoea, cough, fever, chills, headache, and myalgia, influenza can occur in local community outbreaks, epidemics, and, rarely, pandemics. Kanta Subbarao, Director of the WHO Collaborating Centre for Reference and Research on Influenza, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia, gives us a clinical overview of the infection. For more on influenza, visit BMJ Best Practice: https://bestpractice.bmj.co...
Oct 18, 2019•16 min
Ron Behrens, Consultant in Tropical and Travel Medicine, Hospitals for Tropical Diseases and Senior Lecturer, London School of Hygiene and Tropical Medicine, gives us a clinical overview of malaria. For more on malaria visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/161 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judge...
Sep 12, 2019•25 min
Anthrax is a rare infection caused by the spore-forming, gram-positive soil organism Bacillus anthracis . Cutaneous disease is the most common manifestation; however, fatal systemic illness due to spore ingestion, inhalation, or injection can occur. In this podcast Ali Hassoun, Infectious Disease Specialist, Alabama Infectious Diseases Center, USA, gives us a clinical overview of anthrax. For more on anthrax, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/604 - The purpose of...
Aug 21, 2019•11 min
Coeliac disease is common, affecting up to 1% of the general population, and has a varied presentation. Matthew Kurien, Senior Clinical Lecturer and Honorary Consultant Gastroenterologist, Department of Infection, Immunity & Cardiovascular Disease, Sheffield Medical School, gives us a clinical overview of the disease. For more on coeliac disease, visit BMJ Best Practice: https://bestpractice.bmj.com/topics/en-gb/636 - The purpose of this podcast is to educate and to inform. The content of th...
Aug 14, 2019•18 min
Botulism is a paralytic illness caused by the neurotoxin produced by Clostridium botulinum, and it is most commonly seen in infants. In this podcast Linda Nield, Professor of Pediatrics, West Virginia University School of Medicine, talks us through how to recognise and manage the condition. For more on botulism, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/810 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice a...
Aug 08, 2019•14 min
Jodi Antonelli, Assistant Professor, Department of Urology, University of Texas Southwestern Medical Center, gives us a clinical overview of nephrolithiasis. For more on nephrolithiasis, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/225 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The vie...
Aug 07, 2019•19 min
Fadi Badlissi, Assistant Professor, Harvard Medical School, and Director of the Musculoskeletal Medicine Unit, Beth Israel Deaconess Medical Center, Boston, gives us a clinical overview of gout. For more on gout, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/13 - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient c...
Jul 22, 2019•17 min
Venezuelan equine encephalitis is a mosquito-borne virus, endemic to Central and South America. It usually causes mild and self-limiting disease in humans, however CNS infection can lead to long-term neurological sequelae and death, particularly in children. In this podcast we get a clinical overview of the disease, from Stalin Vilcarromero, Assistant Professor and Clinical Research Scientist, Department of Medicine, Stony Brook University, New York, USA. For more on Venezuelan equine encephalit...
Jul 04, 2019•8 min
Nigel Cowley is a GP from the Denmark Road Medical Centre in Bournemouth, UK, with a special interest in mental health, and in this podcast he shares his advice on, and experiences of, assessing, managing and treating patients with anxiety and depression. For more on anxiety and depression, visit BMJ Learning: learning.bmj.com - The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitut...
May 30, 2019•23 min