Clinical Medicine

Article	Citations
Multiple transfusion request audit	128
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	121
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	105
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	91
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	86
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	79
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	71
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	63
Ambulatory management of diabetic foot complications	48
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	46
Case series of choledocholithiasis more than 25 years after cholecystectomy	41
Doing simple things well can achieve significant benefits	38
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	34
Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	31
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	30
Management of hyperglycaemia in people with obesity	29
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	27
Effective bedside teaching as a foundation doctor	24
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	23
Diagnosis and management of ventricular tachycardia	23
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	23
The diagnosis and treatment of catatonia	23
How to approach acute thrombosis and thrombocytopenia	23
Risk factors and an interpretability tool of in-hospital mortality in critically ill patients with acute myocardial infarction	21
Diagnosis and management of non-cystic fibrosis bronchiectasis	21

The medical licensing assessment (MLA) content map: A list is not a syllabus, and a syllabus is not a curriculum	21
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	20
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	19
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	18
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	17
Purple urine bag syndrome	17
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	16
Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?	16
CME: Diabetes (136254): self-assessment questionnaire	15
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	15
Unwelcome guests: infectious disease beyond the pandemic	15
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	14
Hyperbaric oxygen therapy for the treatment of long COVID: early evaluation of a highly promising intervention	13
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	13
Causes of obesity: a review	13
Improving the quality of care for people with giant cell arteritis	13
Hospital at home – developing a simulation induction programme for junior doctors	13
An update on the clinical approach to giant cell arteritis	13
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	13
Association between lipid profile and disease activity in rheumatoid arthritis	13
Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation	13
Enhanced neurotrauma services: physician input into traumatic brain injury care	13
Isolated cardiac sarcoidosis: A clinical challenge	12
How to approach haemolysis: Haemolytic anaemia for the general physician	12
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	12
Health means more than just healthcare	12
Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica	12
Impact of changing medical workforce demographics in renal medicine over 7 years: Analysis of GMC national trainee survey data	12
A rare presentation of geriatric non-epileptic seizures due to carotid artery encasement of a diffuse large B-cell lymphoma: A case report	11
Engagement in research during specialist geriatric medicine training: results of a national trainee survey	11
Rapid echocardiography in the primary angioplasty era for timely detection and management of acute Stanford type A aortic dissection: a case illustration	11
Decoding cardiac masquerade: Arrhythmogenic cardiomyopathy camouflaging as acute myocardial infarction	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
Table of Contents	11
Table of Contents	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
Thrombocytopenia: the good, the bad and the ugly	10
The diagnosis of fibromyalgia syndrome	10
Chronic lymphocytic leukaemia in the elderly	10
Dynamics of minimal residual disease and its clinical implications in multiple myeloma: A retrospective real-life analysis	10
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	10
The rapid progression of Creutzfeldt–Jakob disease with concomitant COVID-19 infection: a case report	10
Same-day emergency care	10
A comparison of giant cell arteritis referrals and outcomes during the COVID-19 pandemic: experience from a district general hospital in the UK	9
Optimisation of strategies for management of heart failure with preserved ejection fraction	9
People living in homeless hostels: a survey of health and care needs	9
The protective effect of previous COVID-19 infection in a high-prevalence hospital setting	9
Use of IV immunoglobulin to treat steroid resistant, immune checkpoint inhibitor induced pure red cell aplasia. A case report	9
Don't just fit and forget: incremental benefit of optimisation of medical therapy post-cardiac resynchronisation therapy	9

Management of pituitary incidentalomas	9
The use of metaverse in medical education: A systematic review	9
Editorial: Learnings from all walks of medical practice	9
The management of severe eczema in pregnancy	9
Cancer immunotherapy and the management of side effects	9
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	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
A rare case of TEN-like acute cutaneous lupus	9
Secondary haemophagocytic lymphohistiocytosis in hospitalised COVID-19 patients as indicated by a modified HScore is infrequent and high scores do not associate with increased mortality	8
Controversies in thyroid disease management in pregnancy	8
Severe acute pulmonary embolism in pregnancy	8
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	8
Use of proton pump inhibitors (PPI) in patients with acute coronary syndrome (ACS) receiving dual-antiplatelet therapy (DAPT)	8
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	8
Cancer immunotherapy and the management of side effects	8
Importance of point of care ultrasound in the diagnosis of severe mitral regurgitation	8
NEWS2 and the older person	8
Secondary hemophagocytic lymphohistiocytosis: an unusual complication in disseminated Mycobacterium tuberculosis	8
Thrombophilia testing in the era of direct oral anticoagulants	8
A genetic paradigm shift: Deciphering stress-induced molecular mechanisms fuelling cancer genesis	8
Treat staff like they make a difference, and they will	8
Learning from the past rather than living in it	7
Subarachnoid haemorrhage rules	7
Inhaled beclomethasone in the treatment of early COVID-19: a phase 2, double-blind, placebo-controlled, randomised trial	7
Do you need a weatherman to know which way the wind blows?	7
Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review	7
Demographic characteristics of patients with giant cell arteritis in Sheffield, England	7
Clouds come floating into my life from other days no longer to shed rain or usher storm but to give colour to my sunset sky	7
Diabetes and the kidney	7
Genomics in the kidney clinic	7
Seeing what others see while thinking what others have not	7
Attitudes toward deprescribing for hospital inpatients	7
The National Early Warning Score: from concept to NHS implementation	7
Prediction of admission to a low-resource sub-Saharan hospital by mental status, mobility and oxygen saturation recorded on arrival: a prospective observational study	7
Clinical academics’ experiences of REF2021	7
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited	7
The appropriateness of penicillin allergy de-labelling by non-allergist clinical ward teams	7
Time for preference-informed foundation allocation?	7
Pregnancy-specific dermatoses for the resident physician	7
Unexplained breathlessness: Integrating pathophysiological insights with clinical evaluation	7
Idiopathic multicentric Castleman disease and its rare association with peripheral neuropathy and stroke	7
Breathe easy: encouraging climate-conscious inhalers	6
Harveian Oration 2020: Elucidation of molecular oxygen sensing mechanisms in human cells: implications for medicine	6
The index of suspicion for iron deficiency in non-anaemic subjects	6
Lesson of the month: Cytotoxic lesions of the corpus callosum (CLOCCs) in status epilepticus	6
Four key problems that will need to be addressed during the next pandemic	6
A National audit of the care of patients with acute kidney injury in England and Wales in 2019 and the association with patient outcomes	6
Bickerstaff's brainstem encephalitis: A diagnostic challenge	6
The false positive troponin results: case studies of analytical interference	6
CME: Geriatric medicine (141062): self-assessment questionnaire	6
Core medical training to internal medicine training: progress or a step backwards?	6
Putting your HAT on	6
Cocaine-induced granulomatosis with polyangiitis: an under-recognised condition	6
Thromboelastography for rapid diagnosis of heparin-like anticoagulant release during anaphylaxis-induced coagulopathy in systemic mastocytosis: a case report	6
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	6
Isolated headache is not a reliable indicator for brain cancer: the 2-week wait pathway for suspected CNS malignancies	6
COVID-19 infection as a parameter in the CHA2DS2 vascular risk assessment tool	6
Early applications of ChatGPT in medical practice, education and research	5
Pfizer COVID-19 vaccine-induced peritonitis	5
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	5
Response	5
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	5
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	5
Acute intermittent porphyria: is oseltamivir safe in these patients?	5
Let's voice it- bridging the cervical screening health inequality among sexual minority women	5
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	5
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	5
Foundation doctors’ perspectives on the impact of the COVID-19 pandemic and lessons for the future	5
Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project	5
Outpatient parenteral antibiotic treatment for infective endocarditis: A retrospective observational evaluation	5
Table of Contents	5
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	5
Mesenteric ischaemia following posterior myocardial infarction	5
Bilateral adrenal infarction and secondary haemorrhage in pregnancy: implications of factor V Leiden heterozygosity. A review of the literature and a case report	5
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	5
Peritoneal dialysis patients – the forgotten group in the coronavirus pandemic	5
An evaluation of advance care planning during the COVID-19 pandemic: a retrospective review of patient involvement in decision making using routinely collected data from digital ReSPECT records	4
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	4
Developing chief investigators within the NHS: the West Midlands clinical trials scholars programme	4
Immunotherapy related acute kidney injury	4

Approaches to building rapport with patients	4
‘Passenger announcement: Is there a doctor on board?’ Tackling impostor phenomenon in the transition from medical student to foundation doctor	4
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	4
Lesson of the month: Recurrent falls and hypoglycaemia in an older woman	4
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	4
Providing an acute oncology service during the COVID-19 pandemic	4
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	4
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	4
A teenager with ophthalmoparesis and dysphagia	4
Pulmonary endemic mycoses	4
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	4
A retrospective audit of out-of-hours mechanical thrombectomy of anterior circulation large vessel occlusion in a UK tertiary centre	4
Improving endotherapy training for upper gastro-intestinal bleeding (UGIB) using a novel, low cost, home-made porcine model	4
Inflammatory eye disease: An overview of clinical presentation and management	4
Hyperglycaemia and inpatient mortality and morbidity	4
Sustainability in endoscopy: online endoscopy education platform significantly reduces carbon footprint of patient travel	4
CME: Gastroenterology (147143): self-assessment questionnaire	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
Gout on the acute medical take	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
Prescribing for change – safer antimicrobial use in hospitals	4
Acute quadriplegia and epileptic seizures in a 47-year-old man	4
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	4
What is the impact of COVID-19 on complaints against doctors?	4
Acute urinary retention and constipation caused by multi-dermatomal herpes zoster in an immunosuppressed patient	4
Response to: Letter to the editor: Sleep measures and cardiovascular disease in type 2 diabetes mellitus	4
Posterior circulation ischaemic stroke diagnosis and management	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
Benefits of a falls service during the pandemic	4
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	4
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	4
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	4
Infectious diseases at the front door: Focus on the fundamentals	4
The birth of an impactful PACES tutorials for international medical graduates after '39 pregnant weeks' of virtual PACES sessions	3
Clinical inertia – It is imperative to avoid delays in managing common conditions in pregnancy	3
A novel mutation in the ABCC8 gene causing maturity-onset diabetes of the young: A case report	3
Reduction of home-acquired pressure ulcers among palliative patients using quality tools and techniques	3
Mandibular movement monitor provides faster, yet accurate diagnosis for obstructive sleep apnoea: A randomised controlled study	3
Group B streptococcus-associated invasive infections in the adult, non-pregnant population; incidence, risk factors, and clinical presentations beyond borders	3
Impact of Covid-19 pandemic on patients with diabetes from Black Asian and minority ethnic community in a district general hospital	3
Lessons of the month 1: Mesenteric ischaemia secondary to infective endocarditis	3
Staphylococcus aureus bacteraemia for the general physician: A narrative review of a metastatic infection with malignant complications	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
Supporting patients with hypercapnia	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
Strongyloides stercoralis infection in the UK: A systematic review and meta-analysis of published cases	3
Health and work	3
Characteristics of presentation and management of people admitted with severe hypoglycaemia highlight the need for targeted educational interventions to mitigate occurrences - Pilot data from DEKODE H	3
Emergency treatment of anaphylaxis: concise clinical guidance	3
Functional gastrointestinal disorders: History taking skills in practice	3
Improving hyperacute stroke pathways at two specialist cardiothoracic centres (Royal Brompton Hospital and Harefield Hospital)	3
Adenosine-sensitive ventricular tachycardia	3
Clinical accuracy of infrared temperature measurement devices: a comparison against non-invasive core-body temperature	3
Secondary hyperparathyroidism in chronic kidney disease: A narrative review focus on therapeutic strategy	3
Implementation of SAMPL guidelines: Recommendations for improving statistical reporting in biomedical journals	3
Appropriateness of the use of CTPAs (computed tomographic pulmonary angiograms) in suspected pulmonary embolisms	3
Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19)	3
Gin OR tonic: The dermatological hazards of cocktail-based quinine	3
Evidence-based appraisal of situational judgement tests (revisited)	3
CME: Infectious diseases (141750): self-assessment questionnaire	3
Updates in heart failure	3
Cerebral venous sinus thrombosis: A diagnostic dilemma in an uncommon presentation	3
Impact of chronic liver disease (CLD) on mortality, complications and early readmission in patients with spontaneous intracranial haemorrhage (ICH): A national readmission database analysis 2016–2020	3
Pneumothorax: An update on clinical spectrum, diagnosis and management	3
The National Bowel Cancer Screening Programme: a service for the asymptomatic or a pathway acting as a safety net?	3
Advanced therapy screening in inflammatory bowel disease and the impact of clinical nurse specialists: A retrospective analysis of electronic patient records	3
Images of the month 3: Transient perivascular inflammation of the carotid artery syndrome	3
Crohn's disease: an update	3
The development and introduction of a national e-learning programme to support the dissemination of NEWS2	3
‘What is the risk to me from COVID-19?’: Public involvement in providing mortality risk information for people with ‘high-risk’ conditions for COVID-19 (OurRisk.CoV)	3
Predicting outcomes for Crohn's disease using a molecular biomarker: profile trial	3
The weight of obesity in hypertrophic cardiomyopathy	3
Relapsing polychondritis presenting with sero-negative limbic encephalitis	3
Multiple diagnostic examinations are effective for the early diagnosis of scrofuloderma	2
Images of the month 1: Ischaemic stroke due to pulmonary arteriovenous fistula	2
eHealth in obesity care	2
Image of the month: ‘Hourglass left ventricle’ in mid-ventricular hypertrophic cardiomyopathy	2
Optimisation of the use of neuro-radiological studies in children with suspected papilloedema, a sample of Norfolk and Norwich University Hospital (NNUH) patients as an example	2
Predictive value and interrater reliability of mental status and mobility assessment in the emergency department	2
UK CoPACK Study: knowledge and confidence of healthcare workers in using personal protective equipment and related anxiety levels during the COVID-19 pandemic	2
Mitigating the hazards of false dichotomies	2
Image of the month: Primary central nervous system lymphoma mimicking Bell's palsy	2
Supervision, scheduling, satisfaction and shared working: how experiences of junior doctors relate to excess mortality within the NHS	2
Lesson of the month: Cerebral amyloid angiopathy masquerading as recurrent transient ischaemia attacks in an older adult	2
It all started with a sore throat: Polymicrobial septicaemia, cavitating lung lesions and severe thrombocytopenia	2
Diagnosis and management of neuroendocrine tumours	2
NEWS2, patient safety and hypercapnic respiratory failure	2
Lessons of the month 2: Ocular manifestations and complications of hepatitis C infection	2
CME: Endocrinology (144121): self-assessment questionnaire	2
A descriptive cohort study of pregnancy and parenthood in women with cystic fibrosis	2
Respiratory failure in a patient with hypophosphatemic rickets: can an endobronchial stent make the difference?	2
Formalised curiosity	2
Heart failure caused by chronic obstructive pulmonary disease in the United Kingdom: A burden and trend analysis, 1990–2019	2
Climate change and health research – lessons from COP26	2
Implementation of ultrasound-guided cannulation training for foundation doctors	2