Clinical Medicine

Article	Citations
Multiple transfusion request audit	158
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	145
Night sweats and haematological malignancies: Are ‘sweats’ truly a ‘red flag’ symptom? An insight into 2-week-wait haemato-oncology referrals at St Bartholomew's Hospital, London, UK	141
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	112
Audit on parental awareness of minimising added sugar intake during complementary feeding	102
Endoscopic surveillance in patients with oesophageal varices in alcoholic liver cirrhosis	96
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	53
Doing simple things well can achieve significant benefits	53
Case series of choledocholithiasis more than 25 years after cholecystectomy	44
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	41
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	37
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	37
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	35
Ambulatory management of diabetic foot complications	32
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	31
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	30
How to approach acute thrombosis and thrombocytopenia	30
Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	29
Risk factors and an interpretability tool of in-hospital mortality in critically ill patients with acute myocardial infarction	26
Effective bedside teaching as a foundation doctor	26
The medical licensing assessment (MLA) content map: A list is not a syllabus, and a syllabus is not a curriculum	24
The diagnosis and treatment of catatonia	24
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	23
Diagnosis and management of ventricular tachycardia	22
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	21

Management of hyperglycaemia in people with obesity	21
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	20
Association between lipid profile and disease activity in rheumatoid arthritis	19
Enhanced neurotrauma services: physician input into traumatic brain injury care	18
Unwelcome guests: infectious disease beyond the pandemic	17
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	17
Temporal trends in the burden of multiple sclerosis in the UK over the past three decades	17
Hospital at home – developing a simulation induction programme for junior doctors	17
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	17
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	17
The trend in deaths from alcoholic liver disease (ALD) over the past decade	16
Spectrum of anaemia in rheumatic diseases and the involvement of rheumatologists in the management: a single centre study	16
Exceptional outcome: CD-30-positive relapsed enteropathy-associated T-cell lymphoma (EATL) treated with brentuximab vedotin alone, showing significant improvement in weight and albumin levels in Type	16
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	15
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	15
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	15
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	15
An update on the clinical approach to giant cell arteritis	15
Purple urine bag syndrome	15
Causes of obesity: a review	14
Health means more than just healthcare	14
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	14
Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica	13
Improving antimicrobial prescribing in adults hospitalised with community-acquired pneumonia in a district general hospital of West Yorkshire	13
Decoding cardiac masquerade: Arrhythmogenic cardiomyopathy camouflaging as acute myocardial infarction	13
Temporal trends in the burden of chronic obstructive pulmonary disease in the UK over the past three decades	13
A rare presentation of geriatric non-epileptic seizures due to carotid artery encasement of a diffuse large B-cell lymphoma: A case report	13
Table of Contents	13
Safe to transfuse? An audit on quality and practices in blood transfusion sampling and labelling in the accident and emergency (A&E) department.	12
From hypertension to heart failure: The missed clues of transthyretin cardiac amyloidosis	12
Population-specific DPYD variants and fluoropyrimidine toxicity risk: an analysis using public genomic databases	12
Effectiveness of pre- and post-operative 4AT assessment in monitoring delirium in hip fracture patients	11
The rapid progression of Creutzfeldt–Jakob disease with concomitant COVID-19 infection: a case report	11
Optimising admission to scope time for acute GI bleeding (UGIB): retrospective comparative analysis of the timing of endoscopy for UGIB in a Queensland quaternary centre following international recomm	11
Dynamics of minimal residual disease and its clinical implications in multiple myeloma: A retrospective real-life analysis	11
Table of Contents	11
Rapid echocardiography in the primary angioplasty era for timely detection and management of acute Stanford type A aortic dissection: a case illustration	11
Same-day emergency care	11
The BSG/BASL bundle for patients admitted with decompensated chronic liver disease improves standard of care but utilisation is poor across the UK	11
The use of tociluzimab in COVID-19 inpatients: experience from a district general hospital	11
Isolated cardiac sarcoidosis: A clinical challenge	10
Thrombocytopenia: the good, the bad and the ugly	10
A rare complication of DRESS syndrome in the treatment of cardiac device-related lead thrombus and infective endocarditis	10
How to approach haemolysis: Haemolytic anaemia for the general physician	10
Chronic lymphocytic leukaemia in the elderly	10
Editorial: Learnings from all walks of medical practice	9
Don't just fit and forget: incremental benefit of optimisation of medical therapy post-cardiac resynchronisation therapy	9
Use of IV immunoglobulin to treat steroid resistant, immune checkpoint inhibitor induced pure red cell aplasia. A case report	9
The diagnosis of fibromyalgia syndrome	9
Engagement in research during specialist geriatric medicine training: results of a national trainee survey	9

A rare case of TEN-like acute cutaneous lupus	9
Anaemia of acute inflammation: a higher acute systemic inflammatory response is associated with a larger decrease in blood haemoglobin levels in patients with COVID-19 infection	9
Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation	9
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	9
A comparison of giant cell arteritis referrals and outcomes during the COVID-19 pandemic: experience from a district general hospital in the UK	9
Controversies in thyroid disease management in pregnancy	9
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	9
Acute Epstein–Barr virus hepatitis without infectious mononucleosis: a diagnostic challenge	8
Can advance care planning (ACP) improve patients' journey with advanced dementia and their families? A 1-year follow-up study	8
Secondary hemophagocytic lymphohistiocytosis: an unusual complication in disseminated Mycobacterium tuberculosis	8
Table of Contents	8
Cancer immunotherapy and the management of side effects	8
DVT: is it really an SDEC pathway? A retrospective review of SDEC DVT demand and outcomes across Surrey Heartlands ICS	8
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	8
Management of pituitary incidentalomas	8
Optimisation of strategies for management of heart failure with preserved ejection fraction	8
Atypical presentation of young stroke with vertebral artery dissection	8
Medicine’s beauty lies in lifelong learning, reflection and research	8
The management of severe eczema in pregnancy	8
NEWS2 and the older person	7
Cancer immunotherapy and the management of side effects	7
A prospective multicentre study of the endoscopic ultrasound-guided radiofrequency (EUS-RFA) and ethanol ablation (EUS-EA) in pancreatic neuroendocrine tumours and adenocarcinoma of the pancreas	7
Infectious pulmonary tuberculosis patients who inadvertently had spirometry in a tertiary care pulmonary service in southern India	7
Importance of point of care ultrasound in the diagnosis of severe mitral regurgitation	7
Attitudes toward deprescribing for hospital inpatients	7
Applications of musculoskeletal ultrasound in inflammatory arthritis	7
People living in homeless hostels: a survey of health and care needs	7
The use of metaverse in medical education: A systematic review	7
Use of proton pump inhibitors (PPI) in patients with acute coronary syndrome (ACS) receiving dual-antiplatelet therapy (DAPT)	7
Do you need a weatherman to know which way the wind blows?	7
Inhaled beclomethasone in the treatment of early COVID-19: a phase 2, double-blind, placebo-controlled, randomised trial	7
Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups? Prospective assessment of the current practice and yield of faecal elastase testing in patients with diabetes mellitus, HIV and/or	7
Diagnostic accuracy of CADe-assisted reading versus clinician reading for polyp detection in colon capsule endoscopy: a multicentre prospective study	7
Severe acute pulmonary embolism in pregnancy	7
The appropriateness of penicillin allergy de-labelling by non-allergist clinical ward teams	7
A genetic paradigm shift: Deciphering stress-induced molecular mechanisms fuelling cancer genesis	7
Idiopathic multicentric Castleman disease and its rare association with peripheral neuropathy and stroke	7
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited	6
Antibodies and distortion of insulin and C-peptide results in patients with hypoglycaemia of unknown origin	6
Refractory thrombocytopenia as a manifestation of Mycobacterium abscessus complex prosthetic valve endocarditis: a rare and fatal complication	6
Unexplained breathlessness: Integrating pathophysiological insights with clinical evaluation	6
Clinical academics’ experiences of REF2021	6
A case of acute anti-Mi-2-beta antibody-positive dermatomyositis	6
Years after the cure: a rare case of delayed onset of oesophageal stricture post-radiotherapy for lung cancer	6
Treat staff like they make a difference, and they will	6
Time for preference-informed foundation allocation?	6
Soups, shakes and other slimming strategies: GLP-1 agonists vs. NHS type 2 diabetes path to remission programme in the battle against T2DM and weight management	6
Learning from the past rather than living in it	6
Pregnancy-specific dermatoses for the resident physician	6
Demographic characteristics of patients with giant cell arteritis in Sheffield, England	5
Genomics in the kidney clinic	5
COVID-19 infection as a parameter in the CHA2DS2 vascular risk assessment tool	5
Defining and characterising a toolkit for the development of a successful European registry for rare liver diseases: a model for building a rare disease registry	5
Outpatient parenteral antibiotic treatment for infective endocarditis: A retrospective observational evaluation	5
E-cigarettes as a safe alternative to tobacco smoking? A deep dive into vape-associated pneumothorax (VASP)	5
Table of Contents	5
Four key problems that will need to be addressed during the next pandemic	5
Lesson of the month: Cytotoxic lesions of the corpus callosum (CLOCCs) in status epilepticus	5
Thromboelastography for rapid diagnosis of heparin-like anticoagulant release during anaphylaxis-induced coagulopathy in systemic mastocytosis: a case report	5
The National Early Warning Score: from concept to NHS implementation	5
Bickerstaff's brainstem encephalitis: A diagnostic challenge	5
A National audit of the care of patients with acute kidney injury in England and Wales in 2019 and the association with patient outcomes	5
The clinical effective of sodium/glucose co-transporter-2 inhibitors on admission frequency, duration and use of acute non-invasive ventilation in patients with chronic obstructive pulmonary disease:	5
The effect of CGRP monoclonal antibodies on cardiovascular disease	5
Audit of immunoglobulin monitoring and hypogammaglobulinaemia after B cell targeted therapy in a paediatric cohort in a high immune disease prevalence Region	5
Early applications of ChatGPT in medical practice, education and research	5
CME: Geriatric medicine (141062): self-assessment questionnaire	5
Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project	5
Cocaine-induced granulomatosis with polyangiitis: an under-recognised condition	5
Core medical training to internal medicine training: progress or a step backwards?	5
Acute intermittent porphyria: is oseltamivir safe in these patients?	5
Putting your HAT on	5
The changing landscape of HIV epidemiology and management	5
Breathe easy: encouraging climate-conscious inhalers	5
Harveian Oration 2020: Elucidation of molecular oxygen sensing mechanisms in human cells: implications for medicine	5
How serious are ‘serious non-specific symptoms (SNSS)’? Evaluation of the introduction of a local SNSS pathway, and the pick-up rate of cancers, within this population	5
VF arrest secondary to immune checkpoint inhibitor (ICI)-associated myocarditis; improving patient outcomes by maintaining a high clinical suspicion for ICI toxicity	5
The false positive troponin results: case studies of analytical interference	5
Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review	5
The value of CT head scans for patients from care homes presenting to the emergency department following a fall	4

Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	4
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	4
Prescribing for change – safer antimicrobial use in hospitals	4
Acute quadriplegia and epileptic seizures in a 47-year-old man	4
Unexpected effect of anti-PD-1 immune checkpoint inhibitor on a 61-year-old female with stage III non-small cell lung cancer on progression to chemo-radiotherapy	4
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	4
Challenges in the diagnosis of systemic lupus erythematosus	4
A teenager with ophthalmoparesis and dysphagia	4
Trends in hypertension diagnosis and control in Lagos, Nigeria from May measurement month 2023	4
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	4
Pfizer COVID-19 vaccine-induced peritonitis	4
Bilateral adrenal infarction and secondary haemorrhage in pregnancy: implications of factor V Leiden heterozygosity. A review of the literature and a case report	4
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	4
Diabetes and the liver	4
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	4
Infectious diseases at the front door: Focus on the fundamentals	4
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	4
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	4
The unsung tale of the pied piper of haematology: insights from a case of renal transplant failure	4
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	4
Evaluating hepatocellular carcinoma (HCC) surveillance through an early diagnostic centre: An implementation science approach at a tertiary hepatology centre in England	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
Let's voice it- bridging the cervical screening health inequality among sexual minority women	4
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	4
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	4
Evaluating implementation of implantable cardioverter-defibrillator deactivation discussions in do not attempt cardiopulmonary resuscitation (DNACPR) forms: Audit from a tertiary care hospital in the	4
Pulmonary endemic mycoses	4
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	4
Developing chief investigators within the NHS: the West Midlands clinical trials scholars programme	3
Gin OR tonic: The dermatological hazards of cocktail-based quinine	3
Gout on the acute medical take	3
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	3
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	3
SNAPTIMED study: does the Scottish and Newcastle Anti-emetic Protocol achieve timely intervention and management from the emergency department to discharge for paracetamol poisoning?	3
Crohn's disease: an update	3
Advanced therapy screening in inflammatory bowel disease and the impact of clinical nurse specialists: A retrospective analysis of electronic patient records	3
Response to: Letter to the editor: Sleep measures and cardiovascular disease in type 2 diabetes mellitus	3
Benefits of a falls service during the pandemic	3
The development and introduction of a national e-learning programme to support the dissemination of NEWS2	3
A retrospective audit of out-of-hours mechanical thrombectomy of anterior circulation large vessel occlusion in a UK tertiary centre	3
Length of inpatient stay in patients with a suspected NSTEACS listed for invasive cardiac catheterisation	3
Infection in people with heart failure: an overlooked cause of adverse outcomes	3
CME: Gastroenterology (147143): self-assessment questionnaire	3
Immunotherapy related acute kidney injury	3
Hyperglycaemia and inpatient mortality and morbidity	3
Three-year assessment of cognitive and olfactory disturbances among COVID-19 convalescent patients grouped by olfactory hallucination status in Armenia: A qualitative and quantitative study	3
Posterior circulation ischaemic stroke diagnosis and management	3
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	3
Improving endotherapy training for upper gastro-intestinal bleeding (UGIB) using a novel, low cost, home-made porcine model	3
‘Passenger announcement: Is there a doctor on board?’ Tackling impostor phenomenon in the transition from medical student to foundation doctor	3
Secondary hyperparathyroidism in chronic kidney disease: A narrative review focus on therapeutic strategy	3
Predicting outcomes for Crohn's disease using a molecular biomarker: profile trial	3
Supporting patients with hypercapnia	3
Health literacy associates with clinical, treatment and work status in people with inflammatory arthritis: results from a national cohort	3
The impact of insulin resistance on long-term outcomes in heart failure: a systematic review	3
Complex lupus management: when multiple organs demand precision	3
Lesson of the month: Recurrent falls and hypoglycaemia in an older woman	3
Strongyloides stercoralis infection in the UK: A systematic review and meta-analysis of published cases	3
What is the impact of COVID-19 on complaints against doctors?	3
Suboptimal lipid reduction and follow-up in patients with transient ischaemic attack: a need for a systematic, guideline-based approach to optimising lipid-lowering therapy	3
Sustainability in endoscopy: online endoscopy education platform significantly reduces carbon footprint of patient travel	3
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	3
Inflammatory eye disease: An overview of clinical presentation and management	3
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	3
Impact of Covid-19 pandemic on patients with diabetes from Black Asian and minority ethnic community in a district general hospital	3
Implementation of SAMPL guidelines: Recommendations for improving statistical reporting in biomedical journals	3
Evidence-based appraisal of situational judgement tests (revisited)	3
Effectiveness of NEWS in identifying acute deterioration in older adults	3
Staphylococcus aureus bacteraemia for the general physician: A narrative review of a metastatic infection with malignant complications	3
Coeliac disease on the rise: the COVID-19 vaccination hypothesis	3
Adherence to guidelines in the diagnosis and management of autoimmune hepatitis	3
Disseminated tuberculosis in a patient on anti-tumour necrosis factor (anti-TNF) therapy	3
Enhancing personalised care in COPD exacerbation: the role of cardiac/inflammatory biomarkers	3
Acute urinary retention and constipation caused by multi-dermatomal herpes zoster in an immunosuppressed patient	3
Extramedullary haematopoiesis in a patient with myelofibrosis	2
Lesson of the month: Large vessel vasculitis: A rare cause of transaminitis	2
Image of the month: Primary central nervous system lymphoma mimicking Bell's palsy	2
Diffusion of responsibility: a clinical audit	2
Normal creatinine-kinase levels in post-COVID myositis: insights into localised muscle involvement	2
Clinical approach to vision loss: a review for general physicians	2
A case of ascending paralysis in pregnancy: Thiamine deficiency mimicking Guillain–Barré syndrome	2
Investigating the prescription patterns of HRT in women with type 2 diabetes and its effects	2
Nephrology: 1950-2000 An exciting journey from birth to maturity	2
Sarcoidosis: Key disease aspects and update on management	2
Ambulatory investigation of palpitations, pre-syncope and syncope with AliveCor KardiaMobile and Wellysis S-Patch – a local joint working project	2
Identifying gaps and optimising clinical practice and guideline of adrenal incidentaloma management	2
Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist	2
Skin of colour: essentials for the non-dermatologist	2
A descriptive cohort study of pregnancy and parenthood in women with cystic fibrosis	2
Develop ultrasound-guided cannulation skills in junior doctors to improve confidence and competence in intravascular access	2
Emerging tropical neurological infections	2
Improving oxygen prescribing on the Kardex in ward-level care	2
Screening for delirium: a quality improvement audit in geriatric care	2
Digital NEWS? How to amplify the benefits of NEWS in a digital healthcare system	2
Patent foramen ovale: diagnostic evaluation and the role of device closure	2