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CORE blimey! A promising new tool for identifying risk of significant liver disease

CORE blimey! A promising new tool for identifying risk of significant liver disease image
Dr Laura Darby
22nd October 2025

Liver disease is a rising health concern, with the latest data showing that the rate of premature deaths from liver disease increased by almost 40% in England in the 20 years up to 2022. Further, the hospital...

Time to switch patients from aspirin to clopidogrel for secondary prevention?

Time to switch patients from aspirin to clopidogrel for secondary prevention? image
Dr Nick Jones
15th October 2025

Hossain is 68, and he has been taking aspirin since he had a myocardial infarction successfully stented three years ago. He has come to see you about his peripheral neuropathy but at the end of the consultation...

Axial Spondyloarthritis - A painful needle in the haystack of back pain presentations

Axial Spondyloarthritis - A painful needle in the haystack of back pain presentations image
Dr Rob Walker
8th October 2025

How many people do we see with back pain in General Practice? I think it’s safe to say that ‘a lot’ probably covers it. I suspect most of us are acutely aware of the more serious causes of back pain in...

Primary prevention of heart disease in the menopause– is HRT enough?

Primary prevention of heart disease in the menopause– is HRT enough? image
Dr Neal Tucker
1st October 2025

Meet Rebecca. At 46 years old she is consulting you about her cardiovascular risk – her mother had a stroke in her 60s and father an MI in his late 50s. She wants to prevent the same happening to her....

Direct to consumer testing- liberating or a liability?

Direct to consumer testing- liberating or a liability? image
Dr Laura Darby
24th September 2025

Mary is a 72-year-old lady presenting with abdominal pain. She is very apologetic for taking up an appointment: ‘I know you’re very busy doctor, so I didn’t want to trouble you’. On further exploration,...

Antidepressants in the first trimester – how risky are they?

Antidepressants in the first trimester – how risky are they? image
Dr Zoe Norris
17th September 2025

Antidepressants have become a particular issue as their use has increased, and as awareness of perinatal mental health has improved. We now understand much more about the risks associated in either untreated...

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