Broadening your horizons @ East Cheshire NHS Trust
You see a 28 year old tennis player who has pain in his right knee. This started during a match four days ago. He twisted to hit a ball but his foot remained in the same position. What is most likely to be going on? And what tests would you do? If you are not sure then this module will help. Click on the link to complete it today:
And here are our most popular modules on pain:
Here are the latest modules in gastroenterology from BMJ Learning
When you only have 10 minutes with a patient, where do you start and how do you finish? This BMJ Learning module will look at the key elements of a consultation and ensure nothing of importance is forgotten.
Here are 3 other modules you may find useful:
Scenario from BMJ Learning – what would you do?
A 6 week old baby is examined at his baby check. His legs appear to be the same length but he has asymmetrical leg creases. You perform Ortolani’s test and feel a clunk. What is likely to be going on? If you are not sure, then this module should help. Click on the link to complete it today:
How to do the infant physical examination at 6-8 weeks (baby check)
And here are our most popular modules in emergency medicine for you to complete:
Chest pain of recent origin – assessment and diagnosis: in association with NICE
Early management of adults with an uncomplicated first generalised seizure
If you are one of the millions of people with a Google+ account, you may be interested to know that BMJ Learning also uses it as a platform to share its expertise and learning modules via posts, articles and You Tube videos. Simply adding BMJ Learning to ‘your circles’ – your chosen subscriptions, enables you to stay up-to-date most easily.
Click on any of the links below to complete these online modules from BMJ Learning
Take a look at this module available online from BMJ
Scenario:
You review a 53 year old woman because earlier in the day she had an episode where she experienced zigzag lines at the periphery of her vision. Her husband witnessed the event and reports that, at the time, she was “talking nonsense”. This lasted several minutes, and then she noticed pins and needles in her left arm. What is the most likely diagnosis? And what would you do? Not sure? — then complete the module below.
How knowledgeable are you about the current immunisation schedule for children? What are the contraindications for vaccines? Can you reassure parents about immunisation myths? If not, then this module is for you. Childhood immunisation
Plus other popular modules in women’s health.
Urinary incontinence in women: in association with NICE
Heavy menstrual bleeding: in association with NICE
Suspected breast cancer: when you should refer – in association with NICE
Sexual health: contraception and unplanned pregnancy in young women
This week’s case study from BMJ Learning involves a 57 year old man who presents with a one year history of persistent halitosis. He is a heavy smoker and eats spiced foods only occasionally. He drinks one pint of beer per night. How would you advise him? And what would you do? To find out the answers, then click on the link to complete this module today.
Halitosis: a guide to diagnosis and management
And here are our most popular modules in respiratory medicine for you to complete.
Chronic cough: a guide to assessment and management
Anaphylaxis: an update on management
Occupational asthma: evidence based diagnosis and management
People in their 70s across the UK will be offered a vaccine against shingles from this week.
The government-led programme will initially offer the vaccine to those aged 70, 78 and 79. Shingles, or herpes zoster, is an infection of a nerve and the area of skin around it, and can cause a painful rash. Around 800,000 people will be eligible for the vaccine in the first year of the programme.
Don’t forget you can find out more about the treatment of Shingles from the BMJ at http://www.bmj.com/content/326/7392/748 Treatment of herpes zoster and postherpetic neuralgia
Many symptoms of cancer are non-specific, which makes diagnosis difficult. Cancers in childhood are rare and there are also potential barriers to communication during consultations. These are just some of the problems in this field – this module will help you overcome them. It highlights the potential difficulties with diagnosing children and young people with osteosarcomas and brain tumours, outlines red flag symptoms, and suggests approaches to addressing potential barriers to communication. See the link below.
Also in this week’s edition are some modules on ENT disorders. They give an important update on a range of common dilemmas.
Ear discharge: diagnosis and treatment
Hoarseness: diagnostic picture tests
Nasal symptoms: diagnostic picture tests
This week from BMJ Learning: A 70 year old woman with heart failure has just been discharged after her fourth hospital admission in three months. She is tolerating her medication, which includes maximum doses of an angiotensin converting enzyme inhibitor, a beta blocker, spironolactone, and digoxin, and she still seems to be getting some benefit from them. Her husband is worried about her and mentions that she seems low in spirits. What might be going on? And what should you do? If you are not sure, then this module will help. Palliative care in non-malignant disease
PLUS some of the popular modules on rheumatology. They give an important update on a range of common dilemmas.
Rheumatoid arthritis: an update on management – in association with NICE
Osteoarthritis: a guide to management in adults – in association with NICE
Acute back pain: an up to date guide
Chronic back pain: an update on diagnosis and treatment
Giant cell arteritis: diagnosis and treatment
Tip of the week: Attend the BMJ Masterclass in Rheumatology for a full update in the latest clinical developments in rheumatic diseases. Taking place Friday 22nd November in London, this masterclass is suitable for all physicians and GPs with a specialty interest
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What would you do?You see a 36 year old man who had been slightly unwell for about a week, and then had a sudden episode of vertigo. The episode started for no apparent reason and went on for several days. What is the most likely diagnosis? And what should you do? If you are not sure, then this module will help. Click on the link to complete it today. Vertigo: an update on diagnosis and management Also available are these modules on neurology. They give an important update on a range of common dilemmas. Dystonia: a guide to assessment and management Parkinson’s disease: non-motor symptoms Bell’s palsy: diagnosis and treatment |
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What would you do?
A 75 year old left-handed woman with pain and stiffness in her left shoulder which has been worsening over the last year or two, comes to see you. She also has pain in both hips. On examination she has a global loss of movement of her left shoulder and both hips. What is the most likely diagnosis? And what should you do? If you are not sure, then this module will help. Click on the link to complete it today. Shoulder examination and diagnosis And here are our most popular modules on pain for you to complete. They give an important update on a range of common dilemmas. Functional recurrent abdominal pain in children: assessment and management |
As the pollen season is reaching its peak there tends to be an increase in patients wanting information on allergic rhinitis.
Questions may include: which antihistamines are the least sedating? Will antihistamines help nasal congestion? What are the side effects of intranasal corticosteroids?
To get the answers and to learn more about this topic, then click on the link to complete this module today. Allergic rhinitis: an update on treatment
Additional modules on mood disorders – see below.
BMJ Learning set this scenario:
You see a 40 year old woman with a two day history of left knee pain. She is unable to stand on the left leg due to this. Her knee is warm, swollen, and tender on examination. What is the most likely diagnosis? And what would you do? If you would like to learn more about this topic, then click on the link to complete this module today.
Additional emergency medicine for you to complete. They give an important update on a range of common dilemmas.
Chest pain of recent origin – assessment and diagnosis: in association with NICE
Early management of adults with an uncomplicated first generalised seizure
Simply register to complete the following modules for free
Sexual health: postnatal and emergency contraception in women
There are popular modules in cardiology available too.
Chronic heart failure: a guide to management – in association with NICE
Chest pain – assessment and diagnosis: in association with NICE
Antimicrobial prophylaxis against infective endocarditis – in association with NICE
Extract from BMJ Best Practice
Measles is an epidemic disease prevalent worldwide whose incidence has been curtailed markedly in countries where immunisation is widespread. It is characterised by cough, coryza, conjunctivitis, a characteristic exanthem, and a pathognomonic enanthem (Koplik spots). Measles is preventable by immunisation, but high levels of coverage are required to prevent outbreaks of disease. Treatment is primarily supportive, and complications of measles are more common in immunocompromised and poorly nourished individuals and include pneumonia, laryngotracheitis, otitis media, and encephalitis.
You can view the Best Practice Prevention information on measles here, or Treatment information here.
Free BMJ Learning Modules on measles!
Following the recent outbreak of measles in the UK, BMJ Learning is offering its modules on the subject for free for one month only!
Extract from BMJ Learning
A proliferation of new and often unknown recreational drugs has entered the UK market. These so called “club drugs” or “legal highs” are wide ranging but fit broadly into five categories: amphetamine related, GHB, canabinoid substitutes, ketamine, and plant based substances.
In a new audio module, the background of the drugs is discussed, how they are being used, and the associated harms. Click on the link to listen today:
Club drugs and legal highs
Additional popular modules on haematology for you to complete. They give an important update on a range of common dilemmas:
Anaemia in old age: common presentations
Malaria: an update on management in adults
How to reverse the effects of warfarin in hospital practice: an update
Case Study:
An 84 year old woman is having trouble sleeping at night. This has been a recurring problem for some months. You know she has had a fall earlier this year. She wants some medication to help her sleep as she feels that this is affecting her ability to do things during the day. What would you advise? What if she didn’t want to follow your advice? If you would like to learn more about this topic, then click on the link to complete this module today.
Falls in older people: prevention and management
And here are our most popular modules in urology for you to complete.
Lower urinary tract symptoms in men: a guide to management – in association with NICE
Prescribing antihypertensives: what the patient is thinking
In addition there are some very popular modules on stroke medicine for you to complete. They give an important update on a range of common dilemmas.
Stroke prevention in atrial fibrillation
You will need to register with BMJ Learning which only takes a couple of minutes
If you’re looking to get up to speed, or are just after some useful links, we’ve put together several pages of information that will help.
Help with your appraisal
BMJ Learning has produced a series of modules in association with the London Deanery to help you with your appraisal.
NHS Change Day is about making a difference with one simple action. BMJ Quality Improvement Programme and BMJ Learning have made the following modules free for one day only as part of NHS Change Day.
These modules are usually exclusively available for individual users subscribed to the BMJ Quality Improvement Programme.
Abdominal conditions in children are common and have a wide range of causes. In this latest module Dr Ian Wacogne outlines the common causes of various abdominal problems in children and how to recognise and manage them.
Common problems in children 2: abdominal conditions
Also here are some of BMJ’s modules on oral health. They give an important update on a range of common dilemmas.
Mouth cancer: recognising it and referring early
Mouth ulcers: a guide to diagnosis and management
HIV infection: diagnostic picture tests
Herpes simplex type 1 oral infection: a guide to diagnosis and treatment
Common problems in children 5: skin conditions
The following modules give an important update on a range of common dilemmas.
Caring for patients with bowel symptoms: in association with the NHS Cancer Screening Programmes
Suspected breast cancer: when you should refer – in association with NICE
Suspected lower gastrointestinal tract cancer: when you should refer – in association with NICE
Suspected lung cancer: when you should refer – in association with NICE
