Alpesh has high blood pressure. In fact, the 55 year old keeps having high blood pressure despite your best efforts over the past two years. He is already on triple antihypertensives. Does he need a fourth?...
Jenny is a 33-year-old lady presenting with acute migraine. She reports the classic aura, followed by disabling unilateral pounding headache. She has tried paracetamol and NSAIDS with limited effect. The...
Christie comes in to see you for a review of her oral contraceptive. She looks different…Currently on the progesterone-only pill, as she’s never been keen on LARCs and her weight precluded the COCP, she...
It can sometimes feel that working in general practice is a job of two halves. The first, is the clinical side. This is what we train for, pass our exams in and what we expected when we took our jobs....
It’s one of those days when everything seems hard. Take Shuman – 55 years old, he came in with a sore foot but at the end of the consultation asked if you could quickly check his blood pressure. It hasn’t...
No, I’m not talking about jacking in the day job! The focus of this week’s blog is smoking cessation, with a new update to the NICE guideline NG209 just released. The health benefits of stopping smoking...