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24/09/2025

( ) can present with spontaneous degeneration of either disc or facet joints. This spontaneous degeneration is commonly asymptomatic and age-related. Learn more by following the 🔗 https://bit.ly/3IuWwF2

22/09/2025

Ever heard of or ? It's a visual impairment due to abnormal visual stimulation during early childhood. Amblyopia is typically unilateral, and can result from strabismus, refractive errors, and deprivation. Click the 🔗 to learn more https://bit.ly/4mp3V6H

19/09/2025

?
This condition has a bimodal peak in incidence:
🔹 the first peak is reported in the 10-19 age group
🔹 the second is 60-79 years

🔗 Click on the link for more information https://bit.ly/44j7l1C

17/09/2025

should be considered in any child with a suspected infection with signs of a systemic response. This may be indicated by a change in vital signs or a change in a child’s normal behavior.
Parental concern about a child’s behavior or condition should always be taken into consideration as an important indicator
https://bestpractice.bmj.com/topics/en-gb/1201
World Health Organization (WHO)

15/09/2025

usage is decreasing due to its inferiority to other heart failure treatments and digoxin toxicity has, therefore, become less common; but it is at risk of being overlooked.
Refresh your knowledge of the key clinical features and management here https://bit.ly/3Kn50yp

12/09/2025

🧸⚠️ Toxic ingestions in children

Toxic ingestions occur when a child accidentally or deliberately ingests a substance that can cause harm, including medications, alcohol, drugs, toxic plants, berries, mushrooms, or chemicals.

Children may ingest substances while exploring, in response to stress or mental health issues, or in an attempt to get ‘high’.

📞 Always contact a regional poison-control centre or medical toxicologist if an overdose is suspected.

Diagnosis combines thorough clinical assessment and laboratory tests. Some children need observation for 6–24 hours, depending on risk.

👩‍⚕️ Management focuses on airway, breathing, and circulation, supportive care, and specific antidotes if needed. Activated charcoal may be considered within 1 hour of ingestion, with expert guidance.

With prompt diagnosis and treatment, outcomes are usually good. Fatalities are rare.

Learn more about toxic ingestions in children in the BMJ Best Practice topic: https://bestpractice.bmj.com/topics/en-gb/885

10/09/2025

💛🌍 Today is World Su***de Prevention Day

Su***de is a significant public health concern, and is one of the leading causes of death in the US, Canada, UK, Australia, and New Zealand.

Risk of su***de often develops gradually over weeks, months, or even years. Su***de is a behaviour, not a diagnosis, and thoughts of su***de or self-harm should always be met with empathy, compassion, and understanding.

Clinicians, patients, and their carers (supporters) are calling for a paradigm shift in su***de risk assessment that moves away from characterising, predicting, and managing risk towards compassion, safeguarding, and safety planning.

🔗 Learn more about su***de risk mitigation: https://bestpractice.bmj.com/topics/en-gb/1016

08/09/2025

Today is World Rabies Day 🦠🌍

Rabies is an acute viral encephalomyelitis caused by the rabies virus (Lyssavirus genus) and is transmitted mainly through animal bites 🐕🦇.

⚠️ It’s a notifiable disease in many countries, and is preventable with prompt post-exposure prophylaxis (PEP), wound cleansing, immunisation, and rabies immunoglobulin 🧪.

👩‍⚕️ Symptoms start as non-specific illness, progressing to:
Encephalitic rabies → early behavioural changes, late paralysis
Paralytic rabies → paralysis without behavioural changes.

Once symptoms appear, rabies is almost always fatal.

Learn more about rabies: https://bestpractice.bmj.com/topics/en-gb/903

06/09/2025

PODCAST🎧

Paediatric asthma is the most common chronic respiratory disease globally and is a significant cause of childhood morbidity and mortality.

Find out more about the importance of diagnosing and managing this condition correctly with Helen Brough.
https://bit.ly/3JPqHa9

04/09/2025

Diagnose this patient 👇

A 49-year-old woman presents to A&E with a 24-hour history of gradually worsening left-lower quadrant abdominal pain associated with nausea and vomiting. Prior to this episode, the patient did not have any significant gastrointestinal problems, except slight constipation and occasional dyspepsia after heavy meals. She felt feverish but did not take her temperature. Her family history is negative for GI disorders.

https://bit.ly/47j924B

29/08/2025

🧠 Multiple sclerosis (MS) is an inflammatory demyelinating CNS disease, defined by ≥2 episodes of neurological dysfunction (brain, spinal cord, optic nerves) separated in time and space.

It classically affects women aged 20-40, often with temporary visual or sensory loss — but can occur in any s*x, age, or group.

🧪 Diagnosis: clinical + MRI of brain and spinal cord.

💊 Treatment: acute attack management, prevention of relapses, and symptom control.

Visit the BMJ Best Practice website for more detail on the diagnosis and management of this condition: https://bestpractice.bmj.com/topics/en-gb/140

27/08/2025

Graves’ disease is an autoimmune thyroid condition and the most common cause of hyperthyroidism in countries with sufficient iodine intake.

🩺 Features: orbitopathy, pretibial myxoedema, and acropachy — not seen in other causes of hyperthyroidism.

🧪 Diagnosis: clinical + suppressed TSH, raised T3/T4, and TSH receptor antibodies.

💊 Treated with antithyroid drugs, radioactive iodine, or surgery.

Read more: https://bestpractice.bmj.com/topics/en-gb/32

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