We welcome you to come and read through our latest, Oct/Nov, edition of Modern Medicine.
This month we have a jam packed edition for you. Our features this month include; Oncology, Colon Cancer, Pain and many more.
We encourage all of our readers to complete the CPD questionnaire for this edition, this can be done on the answer-form included in the magazine, or on our website CPD system.
Modern Medicine, the journal that’s with you wherever you go.
We welcome you to come and read through our latest, Aug/Sept, edition of Modern Medicine.
This month we have a jam packed edition for you. Our features this month include; General Practice, Gastroenterology, Pain, Probiotics and many more.
We encourage all of our readers to complete the CPD questionnaire for this edition, this can be done on the answer-form included in the magazine, or on our website CPD system.
Modern Medicine, the journal that’s with you wherever you go.
We welcome you to come and read through our latest, June/July, edition of Modern Medicine.
This month we have a jam packed edition for you. Our features this month include; Ethics, Gastroenterology, Back Pain, UTIs and many more.
We encourage all of our readers to complete the CPD questionnaire for this edition, this can be done on the answer-form included in the magazine, or on our website CPD system.
Modern Medicine, the journal that’s with you wherever you go.
We welcome you to come and read through our latest, May/June, edition of Modern Medicine.
This month we have a jam packed edition for you. Our features this month include; Ethics, Pharmacology, Dermatology, Flu and many more.
We encourage all of our readers to complete the CPD questionnaire for this edition, this can be done on the answer-form included in the magazine, or on our website CPD system.
Modern Medicine, the journal that’s with you wherever you go.
We welcome you to come and read through our latest, April, edition of Modern Medicine.
This month we have a jam packed edition for you. Our features this month include; Opthalmology, Haemotology, Winter Ailment , Neurology and many more.
We encourage all of our readers to complete the CPD questionnaire for this edition, this can be done on the answer-form included in the magazine, or on our website CPD system.
Modern Medicine, the journal that’s with you wherever you go.
Iron Deficiency How to detect it, how to correct it
Measurement of the serum ferritin level is the most useful diagnostic assay for detecting iron deficiency
but interpretation may be difficult in patients with comorbidities. Identifying the cause of iron deficiency is
crucial. Referral to a gastroenterologist is often required. Faecal occult blood testing is not recommended.
A negative result does not impact on the diagnostic evaluation. Oral iron is an effective first-line treatment
and simple strategies can facilitate patient tolerance. For patients who cannot tolerate oral therapy or require
more rapid correction of iron deficiency, intravenous iron infusions are safe, effective and practical. Intramuscular
iron is no longer recommended for patients of any age.
Modern Medicine – April 2018
Chronic Rhinosinusitis Meeting the challenges
Chronic rhinosinusitis is defined by two or more of: nasal obstruction, mucopurulent discharge, decreased sense
of smell or facial pain, along with CT or endoscopic evidence of sinus disease. Consider differential
diagnoses according to symptoms; they include allergic rhinitis, headache syndromes such as migraine,
laryngopharyngeal reflux and globus pharyngeus. Once the diagnosis is made, commence a trial of maximal
medical management. If the patient does not respond to maximal medical management then referral to an
ear, nose and throat specialist is warranted for further investigation and medical and possibly surgical
management. Removal of the adenoids is often helpful in children with chronic rhinosinusitis.
Modern Medicine – April 2018
Using Antibiotics Wisely to Reduce Resistance
The growing problem of antimicrobial resistance has led to calls for antimicrobial stewardship programmes to
control antibiotic use in healthcare settings. Available estimates indicate that between 30% and 50% of
antibiotic use is inappropriate. Improper utilisation of antimicrobials often leads to increased costs, widespread
antimicrobial resistance and medication errors
Modern Medicine – April 2018
Thunderclap Headache When the risk of doing nothing is too high
The cause of thunderclap headache should be considered to be aneurysmal subarachnoid haemorrhage
until proven otherwise. The diagnostic work up involves urgent non-enhanced CT of the brain (with
CT angiography if immediately available), then possibly a lumbar puncture, then cerebral arterial and venous
imaging with either MRI or CT if each preceding investigation has yielded a normal/negative result.
Reversible cerebral vasoconstriction syndrome is usually characterised by recurrent thunderclap headaches
and multifocal, multi-vessel segmental cerebral artery vasoconstriction that usually resolve within 12 weeks.
It can be associated with neurological complications including intracerebral haemorrhage and cerebral
ischaemic infarctions.
Modern Medicine – April 2018
