Clinical Medicine: 21 (2)

Clinical Medicine: Vol. 21, Issue 2 (March 2021)

EDITORIAL

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Assisting clinical decision making: tools, rules and teams
Anton Emmanuel

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.ed.21.2.1

ORIGINAL RESEARCH

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National Early Warning Score 2 (NEWS2) to identify inpatient COVID-19 deterioration: a retrospective analysis
Kenneth F Baker, Aidan T Hanrath, Ina Schim van der Loeff, Lesley J Kay, Jonathan Back and Christopher JA Duncan

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0688
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NHS England-funded CT fractional flow reserve in the era of the ISCHEMIA trial
Hazhee Rasoul, Saad Fyyaz, Daniela Noakes, Carl Shakespeare, Sarojini David, Zeeshan M Khawaja, Nikolaos Papamichail and Khaled Alfakih

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0691
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Subarachnoid haemorrhage rules in the decision for acute CT of the head: external validation in a UK cohort
Robert W Foley, Sanjeev Ramachandran, Abisoye Akintimehin, Samuel Williams, Steve J Connor, Jonathan Hart, Yasmin K Kapadia, Ivan Timofeev, Christos M Tolias, Martin B Whyte and Philip A Kelly

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0437
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A specialised cardiorespiratory team approach in the intensive care management of COVID-19 patients: benefit on mortality, diagnosis and management
Asad Anwar, Nordita Ramos-Bascon, A Agatha Crerar-Gilbert, Natalie Barnes and Brendan Madden

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0788

REVIEW

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Iron deficiency without anaemia: a diagnosis that matters
Abdulrahman Al-Naseem, Abdelrahman Sallam, Shamim Choudhury and Jecko Thachil

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0582
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Controversies in revascularisation for stable coronary artery disease
Alexandra N Nowbar, Christopher Rajkumar, Rasha K Al-Lamee and Darrel P Francis

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0922

CME: GASTROENTEROLOGY

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Assessment and management of dysphagia and achalasia
Amir Mari and Rami Sweis

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0069
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A practical approach to the patient with chronic diarrhoea
George E Hiner and Julian RF Walters

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0028
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An update on coeliac disease from the NHS England National Centre for Refractory Coeliac Disease
Anupam Rej and David S Sanders

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0025
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Non-steroidal anti-inflammatory drugs and the gastrointestinal tract
Foong Way David Tai and Mark E McAlindon

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0039
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Ulcerative colitis: an update
Jonathan P Segal, Jean-Frédéric LeBlanc and Ailsa L Hart

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0080
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CME: Gastroenterology (134430): self-assessment questionnaire
Anton Emmanuel and Tahseen A Chowdhury

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.SAQ.21.2

QUALITY IMPROVEMENT

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Reducing inappropriate blood testing in haematology inpatients: A multicentre quality improvement project
Amelia Fisher, Alvin Katumba, Khalid Musa, Shehana Wijethilleke, Zaibun Khan, Yooyun Chung and Waqas Akhtar

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0250

OPINION

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The ethics and politics of addressing health inequalities
Stephen H Bradley

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0945

ACUTE MEDICAL CARE

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Loperamide: an emerging drug of abuse and cause of prolonged QTc
George Whittaker and Joseph Newman

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1046

CLINICAL LESSON

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Progressive neurological symptoms following a fall
Katie Best and Achillefs Spyropoulos

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0966

LESSONS OF THE MONTH

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Lesson of the month: Severe leukoencephalopathy by SARS-CoV-2
Leticia Sanz-Canalejas, María del Carmen Polidura-Arruga, Miguel Yus-Fuertes, Manuela Jorquera-Moya, Nieves Vidart-Simón, Juan Arrazola-García and Natividad Gómez-Ruiz

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0940

IMAGES OF THE MONTH

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Image of the month: Abdominal aorta aneurysm rupture in the peritoneal cavity with a two-point aortocaval fistula formation
Olga Nikolaidou, Vasileios Kamperidis, Reggina Goulimari, Liana Panagiotidou and Symeon Dimitriadis

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0943

ERRATUM

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Erratum: Developing services for long COVID: lessons from a study of wounded healers
Emma Ladds, Alex Rushforth, Sietse Wieringa, Sharon Taylor, Clare Rayner, Laiba Husain and Trisha Greenhalgh

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.err.21.2

COVID-19 RAPID REPORT

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Ethical principles and a practical approach to support policy making through the next phases of the COVID-19 pandemic and beyond
Zoë Fritz, Julian L Huppert, Kathleen Liddell, Richard Holton and Jonathan P Fuld

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0843
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COVID-19 emergency department discharges: an outcome study
David Lanham, Jennifer Roe, Alisha Chauhan, Rebecca Evans, Toby Hillman, Sarah Logan and Melissa Heightman

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0817
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Contact tracing for SARS-CoV-2: what can be learned from other conditions?
James Brown, Kyle Ring, Jacqui White, Nicola E Mackie, Ibrahim Abubakar and Marc Lipman

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0643
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The safety of anaesthetists and intensivists during the first COVID-19 surge supports extension of use of airborne protection PPE to ward staff
Tim M Cook, Kariem El-Boghdadly, Jules Brown and Anthony E Pickering

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0983
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Admission COVID-19 clinical risk assessment for guiding patient placement and diagnostic testing strategy
Nick K Jones, Isobel Ramsay, Elinor Moore, Jonathan Fuld, Chris Adcock, Edward Banham-Hall, Judith Babar, Effrossyni Gkrania-Klotsas and Hoi Ping Mok

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0519
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Perspective: Vitamin D supplementation prevents rickets and acute respiratory infections when given as daily maintenance but not as intermittent bolus: implications for COVID-19
George Griffin, Martin Hewison, Julian Hopkin, Rose Anne Kenny, Richard Quinton, Jonathan Rhodes, Sreedhar Subramanian and David Thickett

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0035

ORIGINAL RESEARCH

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The effects of COVID-19 on sickness of medical staff across departments: A single centre experience
Reza Khorasanee, Tomas Grundy, Alexander Isted and Richard Breeze

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0547
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To scan or not to scan – D-dimers and computed tomography pulmonary angiography in the era of COVID-19
Alexander A Tuck, Harriet L White, Badr A Abdalla, Gwendolen J Cartwright, Katherine R Figg, Emily N Murphy, Benjamin C Pyrke, Mark A Reynolds, Rana M Taha and Hasan N Haboubi

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0664
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The UK physician workforce: one-third at increased risk of death from COVID-19
Ajay M Verma, Andrew F Goddard, Donal O’Donoghue, Nina Newbery, Christopher Phillips and Nigel Trudgill

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0756
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Analysis of conflicts of interest among authors and researchers of European clinical guidelines in cardiovascular medicine
Jonathan Hinton, Thomas Reeves and Benoy N Shah

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0552
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Lockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnesses
Miles C Allison, Nicholas A Doyle, Giles Greene, Arif Mahmood, Myer Glickman, Aine K Jones and Paul E Mizen

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0586
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Emergency hospital admissions associated with non-communicable diseases 1998–2018 in England, Wales and Scotland: an ecological study
Alexander J Robbins, Alex J Fowler, Ryan W Haines, Rupert M Pearse, John R Prowle and Zudin Puthucheary

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0830
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Pre-stroke disability and stroke severity as predictors of discharge destination from an acute stroke ward
Henry de Berker, Archy de Berker, Htin Aung, Pedro Duarte, Salman Mohammed, Hamsaraj Shetty and Tom Hughes

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0834
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Towards integrated perioperative medicine: a survey of general practitioners’ attitudes, beliefs and behaviours regarding perioperative medicine for older people
Tessa O’Halloran, Jessie Colquhoun, Gerard Danjoux, Judith SL Partridge and Jugdeep K Dhesi

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0851

QUALITY IMPROVEMENT

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Management of traumatic brain injury (TBI): a clinical neuroscience-led pathway for the NHS
Lucia M Li, Michael D Dilley, Alan Carson, Jaq Twelftree, Peter J Hutchinson, Antonio Belli, Shai Betteridge, Paul N Cooper, Colette M Griffin, Peter O Jenkins, Clarence Liu, David J Sharp, Richard Sylvester, Mark H Wilson, Martha S Turner and Richard Greenwood

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0336

CONCISE GUIDANCE

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The management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: key points from the ESC 2020 Clinical Practice Guidelines for the general and emergency physician
Ramesh Nadarajah and Chris Gale

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0879

REVIEW

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Endocrine complications of immunotherapies: a review
Rosie Hattersley, Melanie Nana and Andrew J Lansdown

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0827
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Hydrogen treatment: a novel option in liver diseases
Jian Shi, Brittany Duncan and Xuyuan Kuang

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0370

LESSONS OF THE MONTH

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Lessons of the month: A challenging presentation of hypopituitarism secondary to an intracerebral aneurysm
Emma M Mullarkey, Ashok Iyer and Ajibola Ihuoma

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1017
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Lessons of the month: ANCA-associated vasculitis – granulomatosis with polyangiitis: ‘the great mimic’
James Hesford, Andrew RL Medford and Harsha Gunawardena

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1037
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Lessons of the month: Acute liver failure: a case close to the heart
Charelle Manning, Hameed Rafiee and Syed Alam

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1062

ACUTE MEDICAL CARE

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Cough headache as a presenting feature of posterior reversible encephalopathy syndrome (PRES)
Boby Varkey Maramattom

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1080

IMAGES OF THE MONTH

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Image of the month: Target the bugs: Strongyloides stercoralis hyperinfection
Akira Hokama and Kazuto Kishimoto

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1000

LETTERS TO THE EDITOR

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Mitral stenosis-related pulmonary embolism as a potential cause of vocal cord paralysis
Oscar Jolobe

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.1
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JAK-inhibition as a therapeutic strategy for refractory primary systemic vasculitides
Sujoy Khan

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.2
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A further explanation for chest pain without visible coronary artery disease
Tom Newman, Paul Morris and Julian Gunn

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.3
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Functional disorders and chronic pain
Richard Sawyer

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.4
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Response
Jessica A Eccles and Kevin A Davies

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.5
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SARS-CoV-2 infection despite vaccination: an under-reported COVID-19 cohort
Tim Robbins, Sudhanshu Baitule, Ioannis Kyrou, Pijush Ray, Nina Morgan, Lisa Berry and Harpal Randeva

Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.6

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Table of Contents

Clinical Medicine: Vol. 21, Issue 2 (March 2021)

EDITORIAL

ORIGINAL RESEARCH

REVIEW

CME: GASTROENTEROLOGY

QUALITY IMPROVEMENT

OPINION

ACUTE MEDICAL CARE

CLINICAL LESSON

LESSONS OF THE MONTH

IMAGES OF THE MONTH

ERRATUM

COVID-19 RAPID REPORT

ORIGINAL RESEARCH

QUALITY IMPROVEMENT

CONCISE GUIDANCE

REVIEW

LESSONS OF THE MONTH

ACUTE MEDICAL CARE

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. 21, Issue 2 (March 2021)

EDITORIAL

ORIGINAL RESEARCH

REVIEW

CME: GASTROENTEROLOGY

QUALITY IMPROVEMENT

OPINION

ACUTE MEDICAL CARE

CLINICAL LESSON

LESSONS OF THE MONTH

IMAGES OF THE MONTH

ERRATUM

COVID-19 RAPID REPORT

ORIGINAL RESEARCH

QUALITY IMPROVEMENT

CONCISE GUIDANCE

REVIEW

LESSONS OF THE MONTH

ACUTE MEDICAL CARE

IMAGES OF THE MONTH

LETTERS TO THE EDITOR

In this issue

Issue highlights

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FAQs

Navigate this Journal

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