BMJ Best Practice Podcast
The BMJ Best Practice Podcast features interviews with clinical experts, aimed at healthcare professionals and students. It covers the latest scientific developments, evidence-based medicine, and guidelines. BMJ Best Practice is a clinical decision support tool that provides step-by-step guidance on diagnosis, prognosis, treatment, and prevention. The podcast is produced by the BMJ Group, a UK-based medical publisher.
Episodes
Traveller's diarrhoea
Traveller's diarrhoea is common. But it is difficult to put a percentage on it as a lot depends on lots of different factors. However, we do know that traveller's diarrhoea can be serious and can cause complications - from lactose intolerance to irritable bowl syndrome.
To find out more, please have a listen to this podcast with Daniel Leung, Professor at the Division of Infectious Diseases, Dr Th
Shared decision-making in difficult circumstances
BMJ Best Practice is our clinical decision support resource. It is designed to help healthcare professionals make better decisions in partnership with their patients.
To find out more about shared decision making in a range of difficult circumstances, please do listen to this BMJ Best Practice podcast interview with Amber Washington, Patient Advisory Coordinator, Tampa General Hospital.
Bipolar disorder
Bipolar disorder is common and important. So it is vital that we get the diagnosis and management of this condition right.
To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Adrian Preda, Professor of Clinical Psychiatry at the University of California, Irvine.
For more on bipolar disorder, visit BMJ Best Practice.
Competing intere
Pulmonary embolism
Pulmonary embolism is common and important. So it is vital that we get the diagnosis and management of this condition right.
To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Scott Woller, Director of the Thrombosis Clinic, Intermountain Medical Center and Professor of Medicine at the University of Utah.
For more on pulmonary embolism, visit B
Migraine
Migraine is very common, affecting an estimated 1.16 billion people worldwide.
It is one of the most disabling neurological disorders. So it is vital that we get diagnosis, management and prevention of this condition right.
To find out how to do this, please listen to this BMJ Best Practice podcast with Timothy Collins, Associate Professor of Neurology and Chief of the Headache Division, Departmen
Comorbidities
Comorbidities are common and important and have a massive impact on the delivery of care.
The BMJ Best Practice Comorbidities Manager is designed to help healthcare professionals deliver better care for patients with multiple illnesses.
To find out more, please do listen to this podcast with Dr Preethi Pirlamarla, Advanced Heart Failure and Transplant Cardiologist at the University of Washington.
Shared decision making
BMJ Best Practice is our clinical decision support resource. It is designed to help healthcare professionals make better informed clinical decisions.
But such decisions should be made in partnership with patients - they should be shared decisions.
To find out more about shared decision making, please do listen to this BMJ Best Practice podcast interview with Emma Doble, Patient and Public Stra
Mumps
Mumps used to be a common childhood disease. Then it became a lot less common because of vaccination. But now unfortunately it is becoming more common again.
So it is vital that we get the diagnosis, management and prevention of this condition right.
To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Dr Kristine Macartney, Director of the Natio
Pertussis
Pertussis or whooping cough is an acute infectious disease caused by Bordetella pertussis. It is highly contagious, highly serious, and highly preventable.
To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Professor Sir Andrew Pollard, Director of the Oxford Vaccine Group and Ashall Professor of Infection and Immunity in Oxford.
Competing inte
Social anxiety disorder
Social anxiety disorder is common. The 1-year point prevalence rate is about 7% and the estimated lifetime prevalence about 12%.
And social anxiety disorder can have a real effect on a patient’s life.
To find out more about this condition, please do listen to this BMJ Best Practice podcast interview with Professor Craig Sawchuk of the Department of Psychiatry and Psychology, Mayo Clinic.
Craig is
Measles
Measles is a serious disease. Unfortunately, it is making a comeback.
So we need to know how to diagnose, manage and prevent it.
To find out more about how to do all of this, listen to this BMJ Best Practice podcast interview with Linda Nield, Professor of Medical Education and Pediatrics at West Virginia University School of Medicine.
For more on measles, visit BMJ Best Practice.
Competing intere
Asthma in children
Paediatric asthma is the most common chronic respiratory disease globally and is a significant cause of childhood morbidity and mortality.
So it is important that we get the diagnosis and management of this condition right.
To find out more, listen to this BMJ Best Practice podcast on asthma in children. It features an interview with Helen Brough, Consultant in Paediatric Allergy and Professor in
Factitious disorders
It is difficult to say how common factitious disorders are. A review of psychiatric consultations in a tertiary care setting found about 1% of referrals received a diagnosis of factitious disorder. Using an entirely different approach, researchers examined specimens submitted by patients as kidney stones and found that 3.5% were obviously non-physiological.
But whatever the prevalence, the consequ
Down syndrome
Down syndrome is the most common genetic cause of intellectual disability, occurring in 1 in about 800 births worldwide. Children and adults with Down syndrome need high quality care from a wide range of different types of healthcare professionals.
To find out more about this condition, listen to this BMJ Best Practice podcast interview with Kishore Vellody, Professor of Pediatrics, University of
Generalised seizures in adults
In 2016, the estimated number of people globally with active epilepsy was 45.9 million. For the US in 2015, this figure was around 3.4 million. So epilepsy is common and generalised seizures are a common type of epilepsy.
And the consequences can be serious - from medication side effects to status to sudden unexpected death.
To find out more about this problem and what we can do about it, listen t
Measles, mumps and rubella vaccination
Measles, mumps and rubella are all serious illnesses. They are also all preventable.
Vaccination is safe and effective. But take up of the vaccine is not what it should be.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with Helen Bedford, Professor of Children's Health at the UCL Institute of Child Health.
For more on
Hypercholesterolemia
Hypercholesterolemia is common condition with serious consequences. It is important that we assess, diagnose and manage it appropriately.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with Thorsten Leucker, Assistant Professor of Medicine, Division of Cardiology, Johns Hopkins University School of Medicine.
For more on
BMJ Best Practice and patient safety
The purpose of BMJ Best Practice is to provide knowledge that will help healthcare professionals deliver better care. In this podcast, Dr Clare Mock explains how you can put evidence based knowledge into practice to ensure that we achieve high quality and safe healthcare.
Clare is Clinical Engagement Physician at BMJ and has a great deal of experience in safety, quality improvement and implementat
Hyperkalemia
Hyperkalemia is common and can be serious. It can result in life-threatening cardiac arrhythmias. So it is important that we assess this problem properly, find an underlying diagnosis if there is one, and manage appropriately.
To find out more about this problem and what we can do about it, please do listen to this BMJ Best Practice podcast interview with Sri Yarlagadda, Associate Professor at The
Hypothyroidism
Hypothyroidism is common. The prevalence of overt hypothyroidism in the general population ranges between 0.2 and 5%. And it can cause a range of complications - from heart to brain problems to problems during pregnancy. So it is important that we get the diagnosis and management of this condition right.
To find out more about this problem and what we can do about it, listen to this interview with
Wrist fracture
Wrist fractures are common. They can occur in older women with osteoporosis and low-impact injury. Or young men with high-impact injuries.
And they can cause complications from malunion to joint stiffness to complex regional pain syndrome.
So it is important that we get the diagnosis and management of this condition right.
To find out more about this problem and what we can do about it, list
Tourette syndrome
Tourette syndrome has a prevalence of 0.6% in children and adolescents ages 6 to 17 years, with about half of patients undiagnosed. And Tourette syndrome is associated with distress, substance abuse, and treatment-related side effects. So it is important that we get the diagnosis and management of this condition right.
To find out more about this problem and what we can do about it, please do li
Cervical spine injuries
Cervical spine injuries result primarily from car accidents, falls, and sports activities (such as rugby or diving into shallow water).
They can occur in young and old, and can cause considerable complications - from chronic pain to medication dependence.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, please do have
BMJ Best Practice Comorbidities Manager
Comorbidities are common and important in all countries around the world. They have a significant impact on patients and healthcare providers. The BMJ Best Practice Comorbidities Manager has been designed to help healthcare professionals better manage patients with common combinations of comorbidities. This BMJ Best Practice podcast is an interview with Professor Neera Ahuja, Professor of Medicine
Asthma
Acute severe asthma is common. The global prevalence, morbidity and mortality, and economic burden caused by asthma have progressively increased over the last few decades. About 300 million people worldwide currently have asthma. About 180,000 deaths annually are caused by asthma. And most asthma deaths are preventable. So it is important that we get the diagnosis and management of this condition
ST-elevation myocardial infarction
ST-elevation myocardial infarction is a common and important condition. Myocardial infarction is a leading cause of morbidity and mortality so it is vital that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Mahi Ashwath, Professor of Medicine and Radiology and Inaugural Reu
Panic disorder
Panic disorder is common. The prevalence of panic disorder is 2% to 3% in adults and adolescents. And panic disorder can cause distress, substance abuse, and treatment related side effects. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Professor Cra
Uterine fibroids
Uterine fibroids are common. They represent the most common solid tumours of the female pelvis and are a leading indication for hysterectomy. And complications are frequent also - from bleeding to obstetric complications. So what can we do to ensure that we get the diagnosis and management of this condition right? To answer this and other important questions, please do have a listen to this podcas
BMJ Best Practice and The Darzi Review
The Darzi report states that “a recurring theme is that the recommendations of previous reviews have not been universally adopted.” So can we do better this time? In this podcast, Professor Martyn Patel discusses how healthcare professionals can use BMJ Best Practice to improve care in areas where Darzi says that it needs to improve. In things like comorbidities, cardiovascular care, and emergency
Testicular cancer
Among men aged 15 to 44 years, testicular tumours are the most common cancer diagnosed. And testicular cancer can cause considerable morbidity and mortality. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Corbin Eule, Assistant Professor of Medical
Precocious puberty
The prevalence of precocious puberty is difficult to estimate - it is probably between 1 in 500 and 1 in 5000 children. Unfortunately, complications are common - from distress to short stature to psychological problems. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to this podc
Upper Airway Cough Syndrome
Chronic cough is common. And from 10% to 70% of patients with chronic cough may have upper airway cough syndrome. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Professor Fan Chung who is Professor of Respiratory Medicine and Head of Experimental Stu
Type 2 diabetes
Type 2 diabetes is common. It accounts for over 90% of all diabetes, and has a prevalence of 8.5% in the US. And complications are common as well - from blindness to amputation to chronic kidney disease. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to this podcast interview wit
Hyperthyroidism
Hyperthyroidism
The global prevalence of overt hyperthyroidism is between 0.2% to 1%. Graves disease is the most common form of hyperthyroidism in most areas of the world but there are other causes including toxic nodular goitre. Complications of hyperthyroidism are common - from bone loss to atrial fibrillation to heart failure. So it is important that we get the diagnosis and management of this
Pre eclampsia
Pre eclampsia
Pre-eclampsia is common. It has been reported to affect between 2% and 8% of all pregnancies worldwide. And complications are common as well - from eclampsia to fetal growth restriction to pulmonary oedema. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podc
BMJ Best Practice: Improving Primary Care
BMJ Best Practice is freely available in England, Scotland and Wales. And in many other institutions around the world. We want to ensure that it is used. But we want more than just clicks. We want people to use it to improve individual patient care, to improve care processes and quality and safety, to improve education at all levels. So how should we do this? Please do listen to his podcast interv
Acute otitis media
Acute otitis media is common. More than 80% of children experience at least one episode of acute otitis media before the age of 2 years. And complications are common also - from perforated tympanic membrane to otitis media with effusion. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do li
Animal bites
Animal bites
Each year in the UK, approximately 250,000 people attend emergency departments for the treatment of dog bites. And about 10% of patients will develop an infection. And that is just dogs. Animal bites are a common and serious problem - it is important that we get the assessment and management of this condition right. To find out more details about this problem and what we can do about
Burns
Burns are a common injury. The exact prevalence is difficult to know, as many people will not seek medical advice. But we do know that around 13,000 people in the UK require hospital attention from specialist burns services. And burns can cause a range of complications from scarring to sepsis to psychological trauma. So it is important that we get the management of burns right. To find out more de
COPD: an update on diagnosis and management
COPD is common. It is the third leading cause of death worldwide, causing 3.23 million deaths in 2019. And anyone who has worked in a hospital will know that exacerbations are common also. So it is important that we get the diagnosis and management of this condition right. To find out more details about this problem and what we can do about it, please do listen to his podcast interview with Neil G
Syncope
Syncope is common. It accounts for approximately 1% of all emergency department visits and 2% of all hospital admissions from the emergency department. Causes include dysrhythmias, pulmonary embolism, subarachnoid haemorrhage, and acute coronary syndrome - to name but a few. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important quest
Sepsis in adults
Sepsis is common. In 2018, more than one million US Medicare patients were admitted to hospital with sepsis.
And complications are serious - from renal failure to ARDS to DIC.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, have a listen to this podcast with Professor Andre Kalil, from the Department of Internal Medi
Acne vulgaris
Acne is a common condition. The Global Burden of Disease estimates the prevalence of acne to be 8%, ranking it the eighth most prevalent disease worldwide.
And acne can cause complications - from scarring to dyspigmentation to mental health problems.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, please have a liste
Cervical spine injury
Cervical spine injuries result primarily from motor vehicle accidents, sports activities, and diving into shallow water. These mainly happen with young people. In older people, falls are a common cause. And such injuries can cause a range of complications from pain to radiculopathy to other neurological disability.
So what if anything can we do to ensure that cervical spine trauma is diagnosed and
Croup
Croup is a frequent cause of acute respiratory distress in young children. Typically, it affects those between six months and three years of age, peaking in the second year of life. And croup can be serious and can cause complications - such as pneumonia.
So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important questions, please do have
Frostbite
As the climate changes, we are getting more diseases associated with extremes of temperature - such as frostbite.
Frostbite is classically associated with mountaineering and winter activities. But it also occurs in armed conflict and of course in homeless people. Frostbite can result in wound infection, gangrene and amputation.
So what if anything can we do to ensure that it is diagnosed and manag
Alcohol-associated liver disease
A US study of high-risk drinking patterns suggests that deaths due to alcohol-associated liver disease are expected to double in the next twenty years. And this condition is associated with a range of complications - including hepatic encephalopathy, GI bleeding, and hepatorenal syndrome. So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other i
Benign paroxysmal positional vertigo
Benign paroxysmal positional vertigo (BPPV) has an incidence of 64 per 100,000 per year, increasing by 40% with each decade of life. This means about 200,000 new patients per year in the USA. And BPPV can cause problems - including falls and accidents and of course injuries. So what if anything can we do to ensure that it is diagnosed and managed correctly?
To answer this and other important quest
Community acquired pneumonia
In 2019, lower respiratory tract infections affected 489 million people worldwide, and were the cause for approximately 2.5 million deaths. Children less than 5 and adults older than 70 were the populations most affected by pneumonia. Mortality was highest in patients aged over 70.
So what if anything can we do to ensure that pneumonia is diagnosed and managed correctly?
To answer this and other i
Primary hyperparathyroidism
Primary hyperparathyroidism is a common disorder affecting 1 in 500 women and 1 in 2000 men aged over 40 years. It can cause a range of complications from osteoporosis to fractures to nephrolithiasis.
So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please do have a listen to this podcast interview with Dr John Ayuk,
Diabetic foot disease
Diabetes mellitus is one of the most common chronic diseases worldwide. Diabetic foot disease is an all too common complication. And it can cause a range of problems - including the ultimate complication - amputation. So it is important that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast, Dr. Kieran Walsh talks to Nicole Mottolini about safer managem
Type 2 diabetes in children
In the UK, the prevalence rate of type 2 diabetes in children is approximately 2.9 per 100,000. This number is rising and another constant has been the increasing rates of obesity. So it is vital that we get prevention and management of this condition right.
In this BMJ Best Practice podcast, Dr Christine Bowen talks to Professor May Ng, OBE, Honorary Professor at Edge Hill University, Hon Associa
Endometriosis: an update on diagnosis and management
Endometriosis is a chronic inflammatory condition defined by endometrial stroma and glands found outside of the uterine cavity. The most common sites affected are the pelvic peritoneum and ovaries.
May present incidentally in asymptomatic women, or more commonly in women of reproductive age who complain of chronic pelvic pain and/or sub-fertility.
M. Jonathon Solnik, Professor of Obstetrics, Gynae
Fibrocystic breasts: an update on diagnosis and management
Fibrocystic breasts are common. The incidence peaks at 400 per 100,000 woman-years at the age of 40 to 44.
The condition can cause pain and tenderness that fluctuate with the menstrual cycle. And there is a higher prevalence of cysts as women approach the menopause.
In this BMJ Best Practice podcast, Kieran Walsh talks with Professor Ingrid Lizarraga, Clinical Associate Professor at the Division
Menopause
The diagnosis of menopause is clinical, based on the absence of menses for 12 months, and does not require further testing for appropriately presenting patients.
Oestrogen therapy is an effective treatment for the management of menopausal symptoms including hot flushes, night sweats, and urogenital symptoms.
In this podcast, Bradford W. Fenton, Independence Park Medical Services, Anchorage, Alaska
How to model safe clinical practice
There are concerns that junior healthcare professionals do not use decision support as they don’t see senior staff using it. There are concerns that seniors don't use clinical decision support as they worry about looking things up people in front of people. So a complex issue to discuss.
To find out more about this, listen to this interview with Dr Tom Foley, Consultant Child and Adolescent Psy
Adhesive capsulitis
Adhesive capsulitis affects 2% to 5% of the population. It is slightly more common in women than in men, and is most common in people between the ages of 40 and 70.
And it can cause a range of problems - including pain, stiffness, and loss of function. So it is important that we get the diagnosis and management of this condition right.
To give us more details about this problem and what we can d
Gastro-oesophageal reflux disease (GORD)
Gastro-oesophageal reflux disease (GORD) is a common condition that affects between 10% and 30% of people in developed countries.
There can be a range of complications from haemorrhage to stricture to Barrett's oesophagus. So it is important that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on GORD, Kieran Walsh talks with Dr Andres Carrion, Asso
Snoring
Snoring is common. In the 30- to 35-year-old age group, 20% of men and 5% of women snore. By 60, 60% of men and 40% of women will snore habitually.
And snoring can affect the quality of life - of both the patient and their partner.
In this BMJ Best Practice podcast on snoring, Kieran Walsh talks with Dr Showkat Mirza, Consultant in Otorhinolaryngology and Head & Neck Surgery, Sheffield Teaching
Age-related macular degeneration: an update on diagnosis and management
Age-related macular degeneration is the third most common cause of visual impairment worldwide. The main risk is advanced disease and resultant visual loss.
Prompt diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on macular degeneration, Kieran Walsh talks with Dr.
Cluster headache: an update on diagnosis and management
The prevalence of cluster headache is about one in 500. In people coming to a headache clinic, the prevalence is about 10%.
Cluster headaches are excruciating and incapacitating, and affect quality of life. Prompt diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on
Spinal cord compression: an update on diagnosis and management
Spinal cord compression is an extremely serious disorder that can have devastating consequences. These include weakness of the legs, bladder and bowel dysfunction, and loss of sensation.
Rapid diagnosis and treatment can make a big difference to the outcome - so it is vital that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on spinal cord compres
Halitosis: an update on diagnosis and management
Halitosis is common and can affect people of all ages. Severe halitosis is less common but it can affect confidence and quality of life. It can even result in social isolation. So it is important that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on halitosis, Kieran Walsh talks with Professor Stephen Porter, Director of the UCL Eastman Dental Inst
Osteoarthritis
We release episodes fortnightly. Osteoarthritis is the most common form of arthritis. It is more common in women than in men, with incidence increasing sharply around the age of 50. And it can cause complications - including the inability to perform activities of daily living and spinal stenosis in cervical and lumbar osteoarthritis. So it is vital that we get the diagnosis and management of this
Data, AI, oncology and patients
We release episodes fortnightly. Data, AI, oncology, and patients are a wide range of subjects to be addressed in one podcast. Individually they are big topics and when you put them together you really get to high levels of complexity. In this BMJ Best Practice podcast, Kieran Walsh delves into all these topics with Dr Arun Sujenthiran, Senior Medical Director and UK Clinical Lead at Flatiron Heal
Carotid artery stenosis: an update on diagnosis and management
We release episodes fortnightly. Stroke is the fourth and fifth leading cause of death in the UK and US, respectively. There are more than 100,000 strokes in the UK every year. And approximately 10% to 15% of all ischaemic strokes are associated with carotid artery stenosis. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on ca
Bell’s palsy: an update on diagnosis and management
We release episodes fortnightly. Bell's palsy is the most common unilateral facial palsy in adults. It is most prevalent in people between 15 and 45 years of age. And it can cause a range of complications - including ongoing facial weakness, keratoconjunctivitis sicca, exposure keratopathy, and ectropion. So it is important that we get the diagnosis and management of this condition right. In this
Hypothermia: an update on diagnosis and management
We release episodes fortnightly. Hypothermia is a serious condition - it can cause rhabdomyolysis, electrolyte disturbances, and cardiac arrhythmias. It can also kill. In the UK, the annual number of hypothermia-related deaths is about 300. And in countries with colder climates, the numbers are far higher.
So it is important that we get the diagnosis and management of this condition right. In th
Rosacea: an update on diagnosis and management
We release episodes fortnightly. Rosacea is a common disorder. Studies suggest a prevalence of 5% for women and 4% for men. And rosacea can cause a range of problems including papules and pustules, telangiectasias, and eye problems. So it is important that we get the diagnosis and management of this condition right.
In this BMJ Best Practice podcast on rosacea, Kieran Walsh talks to Dr Abel Jar
Parkinson’s disease
We release episodes fortnightly. Parkinson's disease is a common and serious condition. It is the second most common neurodegenerative disorder in the world - only Alzheimer's disease is more common. And Parkinson's disease can cause a range of complications - from dyskinesias to depression to dementia. So it is important that we get the diagnosis and management of this condition right. In this BM
Data and healthcare
Data and big data in healthcare are both important and topical. Big data has the potential to transform how we provide healthcare but can also be problematic. There can be problems with how data is captured, cleaned, and corrected or with how we update data. BMJ is playing an increasing role in this field. We have our own BMJ Data Set which provides AI healthcare technologies with current, credibl
Herpes zoster infection
Herpes zoster: an update on diagnosis and management
The annual incidence of herpes zoster in the UK is between 2 and 4 patients per thousand population. It can cause a range of complications including post-herpetic neuralgia, herpes zoster of the eye, and disseminated zoster. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on
Status epilepticus
Status epilepticus is a serious medical emergency. Fortunately, it is relatively rare but when it does occur it can cause a range of serious complications including focal neurological deficits, cognitive dysfunction, and behavioural problems. So it is important that we get the diagnosis and management of this condition right. In this BMJ Best Practice podcast on status epilepticus, Kieran Walsh ta
Acute pancreatitis
Acute pancreatitis: an update on diagnosis and management
Acute pancreatitis is a common and serious condition. The incidence of acute pancreatitis in the UK is about 50 per 100,000 per year. And it can cause a range of complications including acute renal failure, pancreatic abscess and of course chronic pancreatitis. So it is important that we get diagnosis and management of this condition right
COPD - an update on diagnosis and management
COPD or chronic obstructive pulmonary disease is common. The pooled global prevalence is 15% in men and 9% in women. The expanding epidemic of smoking and the ageing of the population means that its prevalence is increasing. And COPD is a serious disease. It is associated with recurrent pneumonia, cor pulmonale, and respiratory failure. In this BMJ Best Practice podcast, Kieran Walsh talks to Dr.
TIA - an update on diagnosis and management
Transient ischemic attacks are common - in the UK, the US and around the world. And they are important – mainly because of the high risk of stroke following a TIA. The risk of stroke is high in the first 7 days. So it is important to get on with diagnosis, investigations, and management as soon as possible. In this BMJ Best Practice podcast, Kieran Walsh talks to Dr Jennifer Simpson, Vascular Neu
New-onset atrial fibrillation
Atrial fibrillation is the most common sustained heart rhythm disorder in adults worldwide. The prevalence is between 2% and 4%. If left untreated, atrial fibrillation is a significant risk factor for stroke, myocardial infarction and congestive cardiac failure. So it is important that we get diagnosis and management of this condition right. In this BMJ Best Practice podcast on new-onset atrial f
Ankylosing spondylitis
Axial spondyloarthritis is a chronic progressive inflammatory arthropathy, which ultimately may lead to radiographical changes in the spine and sacroiliac joints. This radiographical stage is known as ankylosing spondylitis.
Inflammatory back pain is the hallmark clinical feature. This is defined as back pain that is of insidious onset, is worse in the morning, and improves with exercise.
In thi
Ischaemic stroke
Ischaemic stroke is a leading cause of morbidity and mortality.
The World Health Organization defines stroke as “a clinical syndrome consisting of rapidly developing clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin”.
David Wang, Professor of Neurology, Barrow Neurologica
Essential tremor
Essential tremor is characterised by a progressive tremor of the upper extremities, present in posture and action, without other neurological signs or symptoms.
The prevalence and incidence increases with age, but the condition can appear in early adulthood in those who have a family history.
Sheng-Han Kuo, Assistant Professor of Neurology, Columbia University, New York, gives us an overview of
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