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
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.
Knee pain in rheumatology
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
Epilepsy – in association with NICE
The influence of anti-TNF therapy upon incidence of keratinocyte skin cancer in patients with rheumatoid arthritis: Longitudinal results from the British Society for Rheumatology Biologics Register
Citation: Annals of the Rheumatic Diseases, June 2012, vol./is. 71/6(869-874),
0003-4967;1468-2060 (June 2012)
Author(s): Mercer L.K.; Green A.C.; Galloway J.B.; Davies R.; Lunt M.; Dixon W.G.; Watson K.D.; Symmons D.P.M.; Hyrich K.L.; Maiden N.; Price T.; Hopkinson N.; O’Reilly S.; Hordon L.; Griffiths I.; Porter D.; Capell H.; Hassell A.; Benitha R.; Choy E.; Walsh D.; Emery P.; Knight S.; Bruce I.; Taggart A.; Scott D.; Thompson P.; McCrae F.; Goodfellow R.; Kitas G.; Jubb R.; Abernethy R.; Clarke S.; Green S.; Sanders P.; Coulson A.; Harrison B.; Bukhari M.; Klimiuk P.
JB Galloway, LK Mercer, A Moseley, WG Dixon… – Annals of the Rheumatic …, 2012
Hope Hospital, Salford (Dr Romela Benitha); King’s College Hospital, London, Macclesfield District General Hospital, Macclesfield (Dr Susan Knight)
Dr Knight was one of a number of consultants acknowledged in this publication for their ‘enthusiastic collaboration’.
The article, ‘Influence of anti-tumor necrosis factor therapy on cancer incidence in patients with rheumatoid arthritis who have had a prior malignancy: Results from the British Society for Rheumatology Biologics Register was published in Arthritis Care and Research, June 2010,
vol./is. 62/6(755-763), 0004-3591;1529-0131 (June 2010)
Published article – Disease activity, smoking, and reproductive-related predictors of poor prognosis in patients with very early inflammatory polyarthritis in the Journal of Rheumatology, March 2011, vol./is. 38/3(429-433), 0315-162X;1499-2752 (March 2011)
Abstract available – Athens required