Clinical Medicine: 21 (3)

Clinical Medicine: Vol. 21, Issue 3 (May 2021)

EDITORIAL

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New wine in old skins
Anton Emmanuel

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.ed.21.3.1

CME: DERMATOLOGY

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Immunobullous disease
Thomas J Tull and Emma Benton

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0232
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Nails in systemic disease
Charlotte E Gollins and David de Berker

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0243
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Psoriasis: a brief overview
Antony Raharja, Satveer K Mahil and Jonathan N Barker

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0257
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Cutaneous manifestations of infections: an update for general physicians
Rachael Morris-Jones

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0262
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Advances in atopic dermatitis
Alice Plant and Michael R Ardern-Jones

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0280

ORIGINAL RESEARCH

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The Volunteers in Research programme: supporting COVID-19 research and improving medical training in parallel
Tamsin McKinnon, Alastair Watson, Liam Richards, Jackie Sears, Matthew J Brookes and Christopher A Green

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-1072
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Acute neurological consequences of novel psychoactive substance use: a retrospective review in a large UK hospital
Matthew Tanti, Jeremy Cosgrove, Charles Kelleher, Rebekah Jones and Melissa Maguire

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0706
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Health and work: what physicians need to know
Karen Walker-Bone and Rosemary Hollick

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0847

CONCISE GUIDANCE

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Consent for blood transfusion: summary of recommendations from the Advisory Committee for the Safety of Blood, Tissues and Organs (SaBTO)
Michael F Murphy, Andrea Harris, James Neuberger and on behalf of the SaBTO Consent for Transfusion Working Group

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-1035
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Association of British Clinical Diabetologists (ABCD) and Diabetes UK joint position statement and recommendations for non-diabetes specialists on the use of sodium glucose co-transporter 2 inhibitors in people with type 2 diabetes (January 2021)
Umesh Dashora, Robert Gregory, Peter Winocour, Ketan Dhatariya, Susannah Rowles, Andrew Macklin, Gerry Rayman, Dinesh Nagi, Katie Whitehead, Hannah Beba, Parijat De, Dipesh C Patel and on behalf of the ABCD executive committee and Diabetes UK

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0045

FOUNDATION COLUMN

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‘Face time’ for the first time: Video communication between relatives and junior doctors in the COVID-19 pandemic
Harriet L White, Alexander A Tuck, Benjamin C Pyrke, Emily Murphy, Katherine Figg, Gwendolen J Cartwright, Badr A Abdalla and Mark A Reynolds

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0925

REVIEW

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An update on hyper-acute management of ischaemic stroke
Ajay Bhalla, Mehool Patel and Jonathan Birns

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0998

QUALITY IMPROVEMENT

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A simple measure to improve sepsis documentation and coding
Jamie Arberry, Zanya Henry and Tumena Corrah

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0868

ACUTE MEDICAL CARE

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When common things aren't so common: A case report of hepatopulmonary syndrome
Emma Keelan, Chris Ferguson and Rebecca Kerr

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0142

LESSON OF THE MONTH

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Lesson of the month: Acute pancreatitis due to hypertriglyceridaemia in a transgender woman: a complication of high-dose oral oestrogen therapy?
Aisha Hashmi, Emilia I Smith, Andra Ciutac and Jamie C Smith

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0075

IMAGE OF THE MONTH

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Image of the month: Diagnostic and therapeutic challenges in the management of ectopic ACTH syndrome: a perfect storm of hypercortisolism, hyperglycaemia and COVID-19
Tejhmal Rehman

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0005

OPINION

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Absence of monitoring in withdrawal of clinically-assisted nutrition and hydration (CANH) and other treatments: a cause for concern?
Alice Gray, Mark Pickering and Stephen Sturman

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0673

CME: DERMATOLOGY

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CME: Dermatology (135279): self-assessment questionnaire
Emma Benton and Tahseen A Chowdhury

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.SAQ.21.3

ORIGINAL RESEARCH

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Treatment of spontaneous intracranial hypotension: experiences in a UK regional neurosciences Centre
Joanna E Perthen, Paul J Dorman, Danny Morland, Nancy Redfern and David JA Butteriss

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0791
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‘I brought that up in my appraisal ... and my consultant said no.’ Structure and agency in specialty and associate specialist (SAS) doctors' experiences of appraisal
Elizabeth Carty and Michael Page

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0976
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Perceptions of the impact of annual review of competence progression (ARCP): a mixed methods case study
Sam Roberts and Barbara MacPherson

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0890
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Aerosolised fluorescein can quantify FFP mask faceseal leakage: a cost-effective adaptation to the existing point of care fit test
Sameer Zaman, Henry Seligman, Freya Hepworth Lloyd, Keval T Patel, Digby Chappell, Danny O'Hare, Graham D Cole, Darrel P Francis, Ricardo Petraco and Nick WF Linton

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0982

FOUNDATION COLUMN

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FiY1: A reflective account of the foundation interim year 1 post
Imogen Jones and Gregory Neal-Smith

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0921
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‘Food for thought’: The importance of nutrition to patient care and the role of the junior doctor
Jessica C Frost and Alexander J Baldwin

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-0707

REVIEW

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Orthostatic hypotension in older people: considerations, diagnosis and management
Melanie Dani, Andreas Dirksen, Patricia Taraborrelli, Dimitrios Panagopolous, Miriam Torocastro, Richard Sutton and Phang Boon Lim

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-1044

COVID-19 RAPID REPORT

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Fluid-repellent surgical mask (FRSM) fit – one size does not fit all
Lorna Russell, Leyla Campani, Jack Jones and Brendan Healy

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0054
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The utility of a local multidisciplinary working group to oversee the establishment of rapidly evolving standards of care and to support trial recruitment during the COVID-19 pandemic
Giovanni Satta, Taryn Youngstein, Liz Lightstone, Mark Gilchrist and on behalf of the COVID-19 treatment guidelines working group at Imperial College Healthcare NHS Trust

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-1021
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SARS-CoV-2 antibody seroprevalence in NHS healthcare workers in a large double-sited UK hospital
Gie Ken-Dror, Charles Wade, Shyam S Sharma, Melanie Irvin-Sellers, Jonathan Robin, David Fluck, Paul Bentley and Pankaj Sharma

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020-1096
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The new UK SARS-CoV-2 variant and lockdown – causes and consequences
Daniel Pan, Nadeesha Lakmal Mudalige, Shirley Sze, David Koeckerling, Oluwatobiloba Oyefeso, Joseph Barker, Caroline ML Williams, Julian W Tang and Manish Pareek

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0019
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Real-world experience of SARS-CoV-2 antibody assays in UK healthcare workers
Alyss V Robinson, Gary Weaving, Barbara J Philips, Alice C Eziefula, Kate E Shipman and Timothy Chevassut

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2020.1007

ACUTE MEDICAL CARE

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Recurrent infection-induced autoimmune haemolytic anaemia complicated by pulmonary embolism: a case report and literature review
Shu Fang and Fan Yang

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0112

LESSONS OF THE MONTH

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Lesson of the month: Late, disseminated herpes zoster reactivation in a stem cell transplant recipient: implications for post-transplant prophylaxis and immune monitoring
Amy E Edwards, Cristina Suarez and Jonathan Lambourne

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0064

IMAGE OF THE MONTH

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Image of the month: An unusual cause of cough, stridor and dyspnoea: A giant aortic arch aneurysm
Bhupinder Singh, Abhishek Goyal, Shibba T Chhabra, Naved Aslam, Bishav Mohan and Gurpreet S Wander

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.2021-0095

LETTERS TO THE EDITOR

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Test and trace ... and test again?
Clare Leong

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.3.1
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National Early Warning Score 2 (NEWS2) to identify inpatient COVID-19 deterioration: The importance of pO₂:FiO₂ ratio
Jonathan W Brand, David J Morrice, Mathew V Patteril and Jonathan H Mackay

Clin Med May 2021, DOI: https://doi.org/10.7861/clinmed.Let.21.3.2

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Table of Contents

Clinical Medicine: Vol. 21, Issue 3 (May 2021)

EDITORIAL

CME: DERMATOLOGY

ORIGINAL RESEARCH

CONCISE GUIDANCE

FOUNDATION COLUMN

REVIEW

QUALITY IMPROVEMENT

ACUTE MEDICAL CARE

LESSON OF THE MONTH

IMAGE OF THE MONTH

OPINION

CME: DERMATOLOGY

ORIGINAL RESEARCH

FOUNDATION COLUMN

REVIEW

COVID-19 RAPID REPORT

ACUTE MEDICAL CARE

LESSONS OF THE MONTH

IMAGE 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 3 (May 2021)

EDITORIAL

CME: DERMATOLOGY

ORIGINAL RESEARCH

CONCISE GUIDANCE

FOUNDATION COLUMN

REVIEW

QUALITY IMPROVEMENT

ACUTE MEDICAL CARE

LESSON OF THE MONTH

IMAGE OF THE MONTH

OPINION

CME: DERMATOLOGY

ORIGINAL RESEARCH

FOUNDATION COLUMN

REVIEW

COVID-19 RAPID REPORT

ACUTE MEDICAL CARE

LESSONS OF THE MONTH

IMAGE OF THE MONTH

LETTERS TO THE EDITOR

In this issue

Issue highlights

Jump to

FAQs

Navigate this Journal

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