Table of Contents
Clinical Medicine: Vol. 21, Issue 2 (March 2021)
EDITORIAL
- You have accessAssisting clinical decision making: tools, rules and teamsAnton EmmanuelClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.ed.21.2.1
ORIGINAL RESEARCH
- You have accessNational Early Warning Score 2 (NEWS2) to identify inpatient COVID-19 deterioration: a retrospective analysisKenneth F Baker, Aidan T Hanrath, Ina Schim van der Loeff, Lesley J Kay, Jonathan Back and Christopher JA DuncanClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0688
- You have accessNHS England-funded CT fractional flow reserve in the era of the ISCHEMIA trialHazhee Rasoul, Saad Fyyaz, Daniela Noakes, Carl Shakespeare, Sarojini David, Zeeshan M Khawaja, Nikolaos Papamichail and Khaled AlfakihClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0691
- You have accessSubarachnoid haemorrhage rules in the decision for acute CT of the head: external validation in a UK cohortRobert 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 KellyClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0437
- You have accessA specialised cardiorespiratory team approach in the intensive care management of COVID-19 patients: benefit on mortality, diagnosis and managementAsad Anwar, Nordita Ramos-Bascon, A Agatha Crerar-Gilbert, Natalie Barnes and Brendan MaddenClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0788
REVIEW
- You have accessIron deficiency without anaemia: a diagnosis that mattersAbdulrahman Al-Naseem, Abdelrahman Sallam, Shamim Choudhury and Jecko ThachilClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0582
- You have accessControversies in revascularisation for stable coronary artery diseaseAlexandra N Nowbar, Christopher Rajkumar, Rasha K Al-Lamee and Darrel P FrancisClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0922
CME: GASTROENTEROLOGY
- You have accessAssessment and management of dysphagia and achalasiaAmir Mari and Rami SweisClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0069
- You have accessA practical approach to the patient with chronic diarrhoeaGeorge E Hiner and Julian RF WaltersClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0028
- You have accessAn update on coeliac disease from the NHS England National Centre for Refractory Coeliac DiseaseAnupam Rej and David S SandersClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0025
- You have accessNon-steroidal anti-inflammatory drugs and the gastrointestinal tractFoong Way David Tai and Mark E McAlindonClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0039
- You have accessUlcerative colitis: an updateJonathan P Segal, Jean-Frédéric LeBlanc and Ailsa L HartClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0080
- You have accessCME: Gastroenterology (134430): self-assessment questionnaireAnton Emmanuel and Tahseen A ChowdhuryClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.SAQ.21.2
QUALITY IMPROVEMENT
- You have accessReducing inappropriate blood testing in haematology inpatients: A multicentre quality improvement projectAmelia Fisher, Alvin Katumba, Khalid Musa, Shehana Wijethilleke, Zaibun Khan, Yooyun Chung and Waqas AkhtarClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0250
OPINION
- You have accessThe ethics and politics of addressing health inequalitiesStephen H BradleyClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0945
ACUTE MEDICAL CARE
- You have accessLoperamide: an emerging drug of abuse and cause of prolonged QTcGeorge Whittaker and Joseph NewmanClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1046
CLINICAL LESSON
- You have accessProgressive neurological symptoms following a fallKatie Best and Achillefs SpyropoulosClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0966
LESSONS OF THE MONTH
- You have accessLesson of the month: Severe leukoencephalopathy by SARS-CoV-2Leticia Sanz-Canalejas, María del Carmen Polidura-Arruga, Miguel Yus-Fuertes, Manuela Jorquera-Moya, Nieves Vidart-Simón, Juan Arrazola-García and Natividad Gómez-RuizClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0940
IMAGES OF THE MONTH
- You have accessImage of the month: Abdominal aorta aneurysm rupture in the peritoneal cavity with a two-point aortocaval fistula formationOlga Nikolaidou, Vasileios Kamperidis, Reggina Goulimari, Liana Panagiotidou and Symeon DimitriadisClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0943
ERRATUM
- You have accessErratum: Developing services for long COVID: lessons from a study of wounded healersEmma Ladds, Alex Rushforth, Sietse Wieringa, Sharon Taylor, Clare Rayner, Laiba Husain and Trisha GreenhalghClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.err.21.2
COVID-19 RAPID REPORT
- You have accessEthical principles and a practical approach to support policy making through the next phases of the COVID-19 pandemic and beyondZoë Fritz, Julian L Huppert, Kathleen Liddell, Richard Holton and Jonathan P FuldClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0843
- You have accessCOVID-19 emergency department discharges: an outcome studyDavid Lanham, Jennifer Roe, Alisha Chauhan, Rebecca Evans, Toby Hillman, Sarah Logan and Melissa HeightmanClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0817
- You have accessContact 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 LipmanClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0643
- You have accessThe safety of anaesthetists and intensivists during the first COVID-19 surge supports extension of use of airborne protection PPE to ward staffTim M Cook, Kariem El-Boghdadly, Jules Brown and Anthony E PickeringClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0983
- You have accessAdmission COVID-19 clinical risk assessment for guiding patient placement and diagnostic testing strategyNick K Jones, Isobel Ramsay, Elinor Moore, Jonathan Fuld, Chris Adcock, Edward Banham-Hall, Judith Babar, Effrossyni Gkrania-Klotsas and Hoi Ping MokClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0519
- You have accessPerspective: Vitamin D supplementation prevents rickets and acute respiratory infections when given as daily maintenance but not as intermittent bolus: implications for COVID-19George Griffin, Martin Hewison, Julian Hopkin, Rose Anne Kenny, Richard Quinton, Jonathan Rhodes, Sreedhar Subramanian and David ThickettClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2021-0035
ORIGINAL RESEARCH
- You have accessThe effects of COVID-19 on sickness of medical staff across departments: A single centre experienceReza Khorasanee, Tomas Grundy, Alexander Isted and Richard BreezeClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0547
- You have accessTo scan or not to scan – D-dimers and computed tomography pulmonary angiography in the era of COVID-19Alexander 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 HaboubiClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0664
- You have accessThe UK physician workforce: one-third at increased risk of death from COVID-19Ajay M Verma, Andrew F Goddard, Donal O’Donoghue, Nina Newbery, Christopher Phillips and Nigel TrudgillClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0756
- You have accessAnalysis of conflicts of interest among authors and researchers of European clinical guidelines in cardiovascular medicineJonathan Hinton, Thomas Reeves and Benoy N ShahClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0552
- You have accessLockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnessesMiles C Allison, Nicholas A Doyle, Giles Greene, Arif Mahmood, Myer Glickman, Aine K Jones and Paul E MizenClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0586
- You have accessEmergency hospital admissions associated with non-communicable diseases 1998–2018 in England, Wales and Scotland: an ecological studyAlexander J Robbins, Alex J Fowler, Ryan W Haines, Rupert M Pearse, John R Prowle and Zudin PuthuchearyClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0830
- You have accessPre-stroke disability and stroke severity as predictors of discharge destination from an acute stroke wardHenry de Berker, Archy de Berker, Htin Aung, Pedro Duarte, Salman Mohammed, Hamsaraj Shetty and Tom HughesClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0834
- You have accessTowards integrated perioperative medicine: a survey of general practitioners’ attitudes, beliefs and behaviours regarding perioperative medicine for older peopleTessa O’Halloran, Jessie Colquhoun, Gerard Danjoux, Judith SL Partridge and Jugdeep K DhesiClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0851
QUALITY IMPROVEMENT
- You have accessManagement of traumatic brain injury (TBI): a clinical neuroscience-led pathway for the NHSLucia 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 GreenwoodClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0336
CONCISE GUIDANCE
- You have accessThe 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 physicianRamesh Nadarajah and Chris GaleClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0879
REVIEW
- You have accessEndocrine complications of immunotherapies: a reviewRosie Hattersley, Melanie Nana and Andrew J LansdownClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0827
- You have accessHydrogen treatment: a novel option in liver diseasesJian Shi, Brittany Duncan and Xuyuan KuangClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-0370
LESSONS OF THE MONTH
- You have accessLessons of the month: A challenging presentation of hypopituitarism secondary to an intracerebral aneurysmEmma M Mullarkey, Ashok Iyer and Ajibola IhuomaClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1017
- You have accessLessons of the month: ANCA-associated vasculitis – granulomatosis with polyangiitis: ‘the great mimic’James Hesford, Andrew RL Medford and Harsha GunawardenaClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1037
- You have accessLessons of the month: Acute liver failure: a case close to the heartCharelle Manning, Hameed Rafiee and Syed AlamClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1062
ACUTE MEDICAL CARE
- You have accessCough headache as a presenting feature of posterior reversible encephalopathy syndrome (PRES)Boby Varkey MaramattomClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1080
IMAGES OF THE MONTH
- You have accessImage of the month: Target the bugs: Strongyloides stercoralis hyperinfectionAkira Hokama and Kazuto KishimotoClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.2020-1000
LETTERS TO THE EDITOR
- You have accessMitral stenosis-related pulmonary embolism as a potential cause of vocal cord paralysisOscar JolobeClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.1
- You have accessJAK-inhibition as a therapeutic strategy for refractory primary systemic vasculitidesSujoy KhanClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.2
- You have accessA further explanation for chest pain without visible coronary artery diseaseTom Newman, Paul Morris and Julian GunnClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.3
- You have accessFunctional disorders and chronic painRichard SawyerClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.4
- You have accessResponseJessica A Eccles and Kevin A DaviesClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.5
- You have accessSARS-CoV-2 infection despite vaccination: an under-reported COVID-19 cohortTim Robbins, Sudhanshu Baitule, Ioannis Kyrou, Pijush Ray, Nina Morgan, Lisa Berry and Harpal RandevaClin Med March 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.2.6
In this issue

Issue highlights
Jump to
- 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