Acute coronary syndromes have been classified according to the finding of ST-segment elevation on the presenting ECG, with different treatment…
Typically Atypical: Merkel Cell Carcinoma
Unlike melanoma, Merkel cell carcinoma, another potentially deadly skin cancer, has no definitive physical characteristics. A man in his 60s…
Physical health in psychiatric patients
Psychiatric patients have complex physical co-morbidities. They die on average 17 years prematurely, and their final years are often blighted…
Acute back pain and cauda equina
Acute low back pain is a very common presentation in primary care. In the vast majority of patients, it is…
The management of acute pain
Although the prevalence and severity of pain are similar in medical and surgical wards, managing acute pain effectively in non-surgical…
Sleep disorders
Obstructive sleep apnoea–hypopnoea syndrome (OSAHS), obesity hypoventilation syndrome (OHS), periodic limb movement disorder and narcolepsy are the sleep disorders most…
Postoperative care
Optimal postoperative care involves a multidisciplinary team of healthcare professionals and a patient-centred approach to avoid postoperative complications and enable…
The diagnosis and management of chronic pain
Chronic or persistent pain lasting longer than 3 months is not an uncommon problem in western Europe. It is associated…
Cannabis legalization does not influence patient compliance with opioid therapy
Prescription opioid use and opioid related deaths continue to increase nationwide. Several states have adopted legislation allowing for recreational use…
Hypertension in pregnancy
As women are becoming pregnant at older ages, hypertension in pregnancy is more commonly encountered. Pre-eclampsia affects 5% of women.…