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Table of Contents

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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    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
  • You have access
    Functional disorders and chronic pain
    Richard Sawyer
    Clin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.4
  • You have access
    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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In this issue

Clinical Medicine: 21 (2)
Clinical Medicine
Vol. 21, Issue 2
March 2021
  • Table of Contents

Issue highlights

  • Subarachnoid haemorrhage rules in the decision for acute CT of the head: external validation in a UK cohort
  • Loperamide: an emerging drug of abuse and cause of prolonged QTc
  • Controversies in revascularisation for stable coronary artery disease
  • CME: Gastroenterology (134430): self-assessment questionnaire

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  • ORIGINAL RESEARCH
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  • 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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