Clinical Medicine: 20 (6)

Clinical Medicine: Vol. 20, Issue 6 (November 2020)

EDITORIAL

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Rarely pure and never simple: interpreting investigation results in the clinical context
Anton Emmanuel

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.ed.20.6.1

ORIGINAL RESEARCH

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Distribution of contemporary sensitivity troponin in the emergency department and relationship to 30-day mortality: The CHARIOT-ED substudy
Jonathan Hinton, Mark Mariathas, Lavinia Gabara, Zoe Nicholas, Rick Allan, Sanjay Ramamoorthy, Mamas A Mamas, Michael Mahmoudi, Paul Cook and Nick Curzen

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0267
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The investigation and management of pancreatic exocrine insufficiency: A retrospective cohort study
Benjamin M Shandro, Jennifer Ritehnia, Joshua Chen, Rani Nagarajah and Andrew Poullis

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0506

QUALITY IMPROVEMENT

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Point-of-care ultrasound rapidly and reliably diagnoses renal tract obstruction in patients admitted with acute kidney injury
Samiksha Nepal, Martin Dachsel and Nicholas Smallwood

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2019-0417
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Building on the RCP FallSafe care bundles: Is observation and review the key to reducing inpatient falls? The Northumbria experience 2013–2020
David A Richardson, David Dawson and Elaine Henderson

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0482

REVIEW

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Quality of smoking cessation advice in guidelines of tobacco-related diseases: An updated systematic review
Winifred Ekezie, Rachael L Murray, Sanjay Agrawal, Ilze Bogdanovica, John Britton and Jo Leonardi-Bee

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0359

CME: RHEUMATOLOGY

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Update on the diagnosis and management of early rheumatoid arthritis
Peter C Taylor

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0727
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Rheumatoid arthritis and bone health
Shanze Ashai and Nicholas C Harvey

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.20.6.rabh
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Adult Paget's disease of bone
Stephen P Tuck and Julie Walker

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.20.6.page
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An update on the general management approach to common vasculitides
Mooikhin Hng, Sizheng S Zhao and Robert J Moots

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0747
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Raynaud's phenomenon
Ashraful Haque and Michael Hughes

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0754
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CME: Rheumatology (133254): self-assessment questionnaire
Elaine Dennison and Tahseen A Chowdhury

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.SAQ.20.6

ACUTE MEDICAL CARE

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Pneumocystis pneumonia, a COVID-19 mimic, reminds us of the importance of HIV testing in COVID-19
Sophie Kelly, Laura Waters, Muge Cevik, Simon Collins, Joe Lewis, Meng-San Wu, Tom J Blanchard and Anna M Geretti

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0565

CLINICAL LESSON

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An unusual case of persisting hypoxia in a patient with a thrombolysed pulmonary embolism
Sanjoy Ray, Shakeel A Qureshi, Natalie Stolagiewicz, Lydia Sturridge and Sitara Khan

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0753
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The importance of early completion of cardiac investigations after ischaemic stroke: a case and systematic review of reperfusion therapy in stroke due to cardiac fibroelastoma
Henrietta Helliwell, Aishwarya Desai, Mark McCole, Andy Beale, Gopinath Ramadurai, Badrinathan Chandrasekaran and Gabriel SC Yiin

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0763

LESSONS OF THE MONTH

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Lesson of the month: Oxycodone-induced leukoencephalopathy: a rare diagnosis
Eleanor Jones, Udayaraj Umasankar, Habeeba Mallu, Timothy Hampton, Angela Kulendran and Mehool Patel

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-06500-0-0

IMAGES OF THE MONTH

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Image of the month: Placental transmogrification of the lung: a rare cause of cystic lung disease
Dalia Mudawi, Rabia Touqeer, Angeles Montero-Fernandez, Melanie Greaves and George A Margaritopoulos

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0584

COVID-19 RAPID REPORT

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The clinical sensitivity of a single SARS-CoV-2 upper respiratory tract RT-PCR test for diagnosing COVID-19 using convalescent antibody as a comparator
Abigail Holborow, Hibo Asad, Lavinia Porter, Poppy Tidswell, Claire Johnston, Ian Blyth, Alice Bone and Brendan Healy

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0555
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Evaluation of a patient self-stratification methodology to identify those in need of shielding during COVID-19
Elizabeth Reilly, Sarah Skeoch, Sarah Hardcastle, John D Pauling, Megan Rowe, Tehseen Ahmed, Andrew Allard, Bashaar Boyce, Ellie Korendowych, Chloe Lapraik, William Tillett and Raj Sengupta

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0469
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Antiviral treatment for COVID-19: the evidence supporting remdesivir
Charlotte Richardson, Sanjay Bhagani and Gabriele Pollara

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0524
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Inhaled and systemic heparin as a repurposed direct antiviral drug for prevention and treatment of COVID-19
Carina Conzelmann, Janis A Müller, Lukas Perkhofer, Konstantin MJ Sparrer, Alexander N Zelikin, Jan Münch and Alexander Kleger

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0351
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Coronavirus in the elderly: a late lockdown UK cohort
Andrew D Kerr and Sybil RL Stacpoole

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0423
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How COVID-19 has changed the unselected medical take: an observational study
Kai Man Alexander Ho, Ananthi Anandhakrishnan, Arun Mahay, Yiwen Soo, Laurence B Lovat and Andrew P Rochford

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0483
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Incorporating SPACES recommendations to the COVID-19 ward care approach at the Royal Bournemouth Hospital
James Tomlinson, Selina Khan and Georgina Page

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0613
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Exposure of hospital healthcare workers to the novel coronavirus (SARS-CoV-2)
Salman Razvi, Rahima Oliver, Jonathan Moore and Andrew Beeby

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0566
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Remodelling of specialist services enables safe reduction in hospital admissions of patients with sickle cell disease: Lessons from the COVID-19 pandemic
Dimitris A Tsitsikas, Natasha Lewis, Kayleigh McCloskey, John Meenan, Rhys Hall, Dede-Kossi Osakonor, Basabi Chaterjee, Jorge Cartier, Jaye Ferrigi, Jenny Darkwah and Bala Sirigireddy

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0474
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Rising to the challenge: Qualitative assessment of medical student perceptions responding to the COVID-19 pandemic
Jayamala Patel, Tim Robbins, Harpal Randeva, Richard de Boer, Sailesh Sankar, Simon Brake and Kiran Patel

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0219
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Restarting training and examinations in the era of COVID-19: a perspective from the Federation of Royal Colleges of Physicians UK
Gerrard Phillips, Mike Jones and Ken Dagg

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0481
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COVID-19: The impacts on foundation training in district general hospitals in the East of England and the East Midlands
Archana Sasitharan

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0592

ORIGINAL RESEARCH

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Preceptorship scheme for newly qualified physician associates working in general practice in Sheffield
Julie Hoskin and Ria Agarwal

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0221

ACUTE MEDICAL CARE

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Delayed rhabdomyolysis secondary to anabolic-androgenic steroid use
Amelia Benjamin, Alex Anderson and Sanja Zrelec

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0694

LESSONS OF THE MONTH

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Lessons of the month: Co-infection with SARS-CoV-2 and influenza B virus in a patient with community-acquired pneumonia
Abigail Coutinho, Afrah Riaz, Annabel Makan, Emma Crawford, Devapriya Dev, Koottalai Srinivasan, Nawaid Ahmad and Harmesh Moudgil

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0598
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Lessons of the month: A breathless severe asthmatic in the genomic era: Occam's razor or Hickam's dictum?
Carmen Venegas, Sarah Svenningsen, Melanie Kjarsgaard, Mark Tarnopolsky, Kim Anderson, Sebastian Levesque, Benjamin A Raby, Grace Parraga, Gerard Cox and Parameswaran Nair

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0661
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Lessons of the month: A forgotten classic: Delayed diagnosis of mitral stenosis presenting initially as Ortner's syndrome
Raja EF Raja Shariff, Hafisyatul A Zainal Abidin and Sazzli S Kasim

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0750

IMAGES OF THE MONTH

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Images of the month: A painful nodule arising within chronic necrobiosis lipoidica
David McBriar, Matthew Costley, Joseph Houghton and Donal O’Kane

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0618
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Images of the month: Cavernous sinus venous thrombosis secondary to Streptococcus milleri maxillary sinusitis: An unusual cause of diplopia and headache
Vanesa Anton-Vazquez, Robin Dru, Philip Rich, Mauricio Arias and Derek Macallan

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0689
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Images of the month: Intrahepatic multiple low-signal lesions from Aeromonas salmonicida infection
Yang Yang, Hui Liu, Wei Hua, Caiping Guo and Yulin Zhang

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0144
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Images of the month: An incidental finding of spontaneous pneumomediastinum (Hamman's syndrome) secondary to diabetic ketoacidosis during the coronavirus pandemic
Keisha A Marchon, Maya O Nunn and Ali J Chakera

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.2020-0739

LETTERS TO THE EDITOR

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Urgent upper gastrointestinal endoscopy referrals cancelled due to the COVID-19 pandemic
Perminder S Phull

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.1
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Qualitative fit testing
Simran Mann and Michael Afnan

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.2
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Von Willebrand factor
Pervinder Bhogal, Melanie Jensen, Dan Hart, Levansri Makalanda, George B Collins, Oliver Spooner and Ounali Jaffer

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.3
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Prone positioning
Mohan Mishra

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.4
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Rehabilitation after COVID-19: supporting those in employment back to work
Andrew Frank

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.5
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Guillain–Barré syndrome
Alvin O Payus, Tan HUI Jan and Azman A Raymond

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.6
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Lung ultrasound in COVID-19
Avinash Aujayeb

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.7
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Nosocomial COVID-19 on a green ward
Win Mar Soe, Aswathi Balakrishnan and Vedamurthy Adhiyaman

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.8
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Vitamin D deficiency and COVID-19
David C Anderson and David S Grimes

Clin Med November 2020, DOI: https://doi.org/10.7861/clinmed.Let.20.6.9

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Table of Contents

Clinical Medicine: Vol. 20, Issue 6 (November 2020)

EDITORIAL

ORIGINAL RESEARCH

QUALITY IMPROVEMENT

REVIEW

CME: RHEUMATOLOGY

ACUTE MEDICAL CARE

CLINICAL LESSON

LESSONS OF THE MONTH

IMAGES OF THE MONTH

COVID-19 RAPID REPORT

ORIGINAL RESEARCH

ACUTE MEDICAL CARE

LESSONS OF THE MONTH

IMAGES OF THE MONTH

LETTERS TO THE EDITOR

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Issue highlights

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Clinical Medicine Journal

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Clinical Medicine Journal

Table of Contents

Clinical Medicine: Vol. 20, Issue 6 (November 2020)

EDITORIAL

ORIGINAL RESEARCH

QUALITY IMPROVEMENT

REVIEW

CME: RHEUMATOLOGY

ACUTE MEDICAL CARE

CLINICAL LESSON

LESSONS OF THE MONTH

IMAGES OF THE MONTH

COVID-19 RAPID REPORT

ORIGINAL RESEARCH

ACUTE MEDICAL CARE

LESSONS OF THE MONTH

IMAGES OF THE MONTH

LETTERS TO THE EDITOR

In this issue

Issue highlights

Jump to

FAQs

Navigate this Journal

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