Clinical Medicine

Article	Citations
Autonomic dysfunction in ‘long COVID’: rationale, physiology and management strategies	425
Does vitamin D deficiency increase the severity of COVID-19?	148
Rehabilitation after COVID-19: an evidence-based approach	106
Von Willebrand factor (vWF): marker of endothelial damage and thrombotic risk in COVID-19?	101
Psoriasis: a brief overview	97
Ulcerative colitis: an update	96
Long-term sequelae following previous coronavirus epidemics	85
Lessons of the month 1: A case of rhombencephalitis as a rare complication of acute COVID-19 infection	85
The potential impacts of obesity on COVID-19	85
The impact of false positive COVID-19 results in an area of low prevalence	78
Evaluating the national PPE guidance for NHS healthcare workers during the COVID-19 pandemic	66
Developing services for long COVID: lessons from a study of wounded healers	61
Thrombotic risk in COVID-19: a case series and case–control study	60
Clinical presentation and diagnosis of multiple sclerosis	56
Acute myocarditis: aetiology, diagnosis and management	56
Guillain–Barré syndrome associated with leptomeningeal enhancement following SARS-CoV-2 infection	56
Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system	53
A practical review of functional neurological disorder (FND) for the general physician	52
Early applications of ChatGPT in medical practice, education and research	50
A case of COVID-19 reinfection in the UK	50
Iron deficiency without anaemia: a diagnosis that matters	50
Perspective: Vitamin D supplementation prevents rickets and acute respiratory infections when given as daily maintenance but not as intermittent bolus: implications for COVID-19	49
Non-steroidal anti-inflammatory drugs and the gastrointestinal tract	48
Leptospirosis: clinical aspects	47
Restarting gastrointestinal endoscopy in the deceleration and early recovery phases of COVID-19 pandemic: Guidance from the British Society of Gastroenterology	47

Management of functional gastrointestinal disorders	47
National Early Warning Score 2 (NEWS2) to identify inpatient COVID-19 deterioration: a retrospective analysis	43
Nutritional status and COVID-19: an opportunity for lasting change?	43
Hyperbaric oxygen therapy for the treatment of long COVID: early evaluation of a highly promising intervention	41
Guidance for the prevention and emergency management of adult patients with adrenal insufficiency	41
COVID-19: Causes of anxiety and wellbeing support needs of healthcare professionals in the UK: A cross-sectional survey	39
Inhaled and systemic heparin as a repurposed direct antiviral drug for prevention and treatment of COVID-19	36
Preventing vitamin D deficiency during the COVID-19 pandemic: UK definitions of vitamin D sufficiency and recommended supplement dose are set too low	36
Lessons of the month 1: Longitudinal extensive transverse myelitis following AstraZeneca COVID-19 vaccination	35
Early intervention likely improves mortality in COVID-19 infection	35
Sarcopenia in cirrhosis: A practical overview	35
Implementation and evaluation of a COVID-19 rapid follow-up service for patients discharged from the emergency department	34
Dengue infection: Global importance, immunopathology and management	33
Acute-on-chronic liver failure	32
The challenges of chronic pain and fatigue	31
C-reactive protein and albumin association with mortality of hospitalised SARS-CoV-2 patients: A tertiary hospital experience	31
Idiopathic intracranial hypertension: Update on diagnosis and management	31
Complete blood count might help to identify subjects with high probability of testing positive to SARS-CoV-2	31
Identifying rheumatic disease patients at high risk and requiring shielding during the COVID-19 pandemic	30
Endocrine complications of immunotherapies: a review	30
Dying ‘due to’ or ‘with’ COVID-19: a cause of death analysis in hospitalised patients	29
Procalcitonin for patient stratification and identification of bacterial co-infection in COVID-19	29
COVID-19 – does exercise prescription and maximal oxygen uptake (VO2 max) have a role in risk-stratifying patients?	29
Pneumocystis pneumonia, a COVID-19 mimic, reminds us of the importance of HIV testing in COVID-19	29
Nosocomial spread of COVID-19: lessons learned from an audit on a stroke/neurology ward in a UK district general hospital	29
Use of procalcitonin for antibiotic stewardship in patients with COVID-19: A quality improvement project in a district general hospital	29
Beyond bones: The relevance of variants of connective tissue (hypermobility) to fibromyalgia, ME/CFS and controversies surrounding diagnostic classification: an observational study	29
Is immune checkpoint inhibitor-associated diabetes the same as fulminant type 1 diabetes mellitus?	28
Blood culture negative endocarditis in the modern era of 16S rRNA sequencing	28
Post-COVID symptoms reported at asynchronous virtual review and stratified follow-up after COVID-19 pneumonia	28
Epilepsy care in the COVID-19 era	27
Characteristics and outcomes of patients with COVID-19 at a district general hospital in Surrey, UK	27
Diabetic retinopathy for the non-ophthalmologist	27
What do senior physicians think about AI and clinical decision support systems: Quantitative and qualitative analysis of data from specialty societies	26
Impact of a system-wide multicomponent intervention on administrative diagnostic coding for delirium and other cognitive frailty syndromes: observational prospective study	26
Raynaud's phenomenon	25
Managing obesity in people with type 2 diabetes	24
COVID-19 in pregnancy	24
Lung ultrasound in the monitoring of COVID-19 infection	23
Should chest compressions be considered an aerosol-generating procedure? A literature review in response to recent guidelines on personal protective equipment for patients with suspected COVID-19	23
The impact of the COVID-19 pandemic on renal transplantation in the UK	23
Medically unexplained symptoms: assessment and management	23
COVID-19-associated pneumomediastinum	23
The clinical sensitivity of a single SARS-CoV-2 upper respiratory tract RT-PCR test for diagnosing COVID-19 using convalescent antibody as a comparator	23
Potential role of endothelial cell surface ectopic redox complexes in COVID-19 disease pathogenesis	23
Update on the diagnosis and management of Parkinson's disease	22
Orthostatic hypotension in older people: considerations, diagnosis and management	22
Update on the diagnosis and management of autoimmune encephalitis	21
The renin–angiotensin system – a therapeutic target in COVID-19?	21
Prone positioning in conscious patients on medical wards: A review of the evidence and its relevance to patients with COVID-19 infection	21

Palliative care in the context of a pandemic: similar but different	20
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	20
Rising to the challenge: Qualitative assessment of medical student perceptions responding to the COVID-19 pandemic	20
The effects of COVID-19 on sickness of medical staff across departments: A single centre experience	20
Rationale for the use of sphingosine analogues in COVID-19 patients	19
COVID-19 patients presenting with afebrile acute abdominal pain	19
SARS-CoV-2 serology: Test, test, test, but interpret with caution!	19
The incidence and duration of COVID-19 vaccine-related reactive lymphadenopathy on 18F-FDG PET-CT	18
COVID-19 infection causing residual gastrointestinal symptoms – a single UK centre case series	18
Refusal of viral testing during the SARS-CoV-2 pandemic	18
The I in COVID: The importance of community and patient involvement in COVID-19 research	17
Chloroquine and COVID-19 – a potential game changer?	16
Drive-through testing in COVID-19: experience from NHS Lothian	15
Exploring communication difficulties with deaf patients	14
Decompensated cirrhosis is the commonest presentation for NAFLD patients undergoing liver transplant assessment	14
Point-of-care ultrasound rapidly and reliably diagnoses renal tract obstruction in patients admitted with acute kidney injury	14
Melioidosis: clinical aspects	14
New guidance on the perioperative management of diabetes	13
Optimising the management of osteoporosis	13
Use of an antiviral filter attached to a pleural drain bottle to prevent aerosol contamination with SARS-CoV-2	13
Association of British Clinical Diabetologists (ABCD) and Diabetes UK joint position statement and recommendations for non-diabetes specialists on the use of sodium glucose co-transporter 2 inhibitors	13
Management of traumatic brain injury (TBI): a clinical neuroscience-led pathway for the NHS	13
Update on the diagnosis and management of early rheumatoid arthritis	13
Acute liver failure	12
Implementation and outcomes of the RAPID programme: Addressing the front end of the lung cancer pathway in Manchester	12
Inflammatory eye disease: An overview of clinical presentation and management	12
Causes of obesity: a review	12
The diagnostic value of 18F-FDG PET/CT in identifying the causes of fever of unknown origin	11
Rheumatoid arthritis and bone health	11
UK neurology response to the COVID-19 crisis	11
Loperamide: an emerging drug of abuse and cause of prolonged QTc	11
Exposure of hospital healthcare workers to the novel coronavirus (SARS-CoV-2)	11
The role of the future physician: building on shifting sands	11
Real-world use of the Breathing Pattern Assessment Tool in assessment of breathlessness post-COVID-19	10
Peritoneal dialysis patients – the forgotten group in the coronavirus pandemic	10
Experience of a novel community testing programme for COVID-19 in London: Lessons learnt	10
Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19)	10
How do we identify acute medical admissions that are suitable for same day emergency care?	10
Identifying and managing functional cardiac symptoms	10
Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern	10
Hub-and-spoke model for thrombectomy service in UK NHS practice	10
Treatment of spontaneous intracranial hypotension: experiences in a UK regional neurosciences Centre	10
Assessment and management of dysphagia and achalasia	10
Mental-health-related admissions to the acute medical unit during COVID-19	10
Interplay between endocrinology, metabolism and COVID-19 infection	10
Non-alcoholic fatty liver disease	10
Managing chronic pain in older people	9
Pre-stroke disability and stroke severity as predictors of discharge destination from an acute stroke ward	9
Liver diseases in pregnancy	9
Increased frequency of pneumothorax and pneumomediastinum in COVID-19 patients admitted in the ICU: A multicentre study from Mumbai, India	9
Physiological changes from ageing regarding pain perception and its impact on pain management for older adults	9
The new UK SARS-CoV-2 variant and lockdown – causes and consequences	9
Respiratory advice for the non-respiratory physician in the time of COVID-19	9
Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist	8
Emergency treatment of anaphylaxis: concise clinical guidance	8
Hydrogen treatment: a novel option in liver diseases	8
Tachycardia in pregnancy: when to worry?	8
Health and work: what physicians need to know	8
Lesson of the month: Oxycodone-induced leukoencephalopathy: a rare diagnosis	8
The public’s attitude towards doctors’ use of Twitter and perceived professionalism: an exploratory study	8
Adult Paget's disease of bone	8
Lesson of the month: Severe granulomatosis with polyangiitis (GPA): a diagnostic challenge during the COVID-19 pandemic	8
Lockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnesses	8
Severe hypertension in pregnancy	8
Radiation-induced coronary artery disease: a difficult clinical conundrum	8
NICE atrial fibrillation guideline snubs wearable technology: a missed opportunity?	8
The management of acute meningitis: an update	8
Lessons of the month: Co-infection with SARS-CoV-2 and influenza B virus in a patient with community-acquired pneumonia	8
Diagnosis and management of non-cystic fibrosis bronchiectasis	8
Should point-of-care ultrasound become part of healthcare worker testing for COVID?	8
COVID-19 and diabetes: What have we learned so far?	7
COVID-19 emergency department discharges: an outcome study	7
Improving the quality of care for people with giant cell arteritis	7
Analysis of conflicts of interest among authors and researchers of European clinical guidelines in cardiovascular medicine	7
An update on hyper-acute management of ischaemic stroke	7
Advances in atopic dermatitis	7
Experience from the first UK inter-regional specialist multidisciplinary meeting in the diagnosis and management of IgG4-related disease	7
VITT, COVID-19 and the Expert Haematology Panel: The story of how the UK responded to emerging cases of vaccine-induced immune thrombocytopenia and thrombosis during the vaccination programme	7
Why health anxiety needs to be recognised in hospital practice	7
A comparison of emergency department presentations for medically unexplained symptoms in frequent attenders during COVID-19	7

Lung cancer for the non-respiratory physician	7
The aetiopathogenesis of vaccine-induced immune thrombotic thrombocytopenia	7
Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?	7
Quality of smoking cessation advice in guidelines of tobacco-related diseases: An updated systematic review	7
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	7
Rickettsial illnesses, a leading cause of acute febrile illness	6
The Volunteers in Research programme: supporting COVID-19 research and improving medical training in parallel	6
Contact tracing for SARS-CoV-2: what can be learned from other conditions?	6
Home quarantine in COVID-19: A study on 50 consecutive patients in Austria	6
Posterior circulation ischaemic stroke diagnosis and management	6
Diabetes technologies – what the general physician needs to know	6
Preceptorship scheme for newly qualified physician associates working in general practice in Sheffield	6
‘Food for thought’: The importance of nutrition to patient care and the role of the junior doctor	6
Mainstreaming of genomics in oncology: a nationwide survey of the genomics training needs of UK oncologists	6
Coronavirus in the elderly: a late lockdown UK cohort	6
Outcomes from a virtual ward delivering oxygen at home for patients recovering from COVID-19: a real world observational study	6
An update on the management of cholestatic liver diseases	6
To scan or not to scan – D-dimers and computed tomography pulmonary angiography in the era of COVID-19	6
NEWS2 system requires modification to identify deteriorating patients with COVID-19	6
Restarting training and examinations in the era of COVID-19: a perspective from the Federation of Royal Colleges of Physicians UK	6
A specialised cardiorespiratory team approach in the intensive care management of COVID-19 patients: benefit on mortality, diagnosis and management	6
Thrombophilia testing in the era of direct oral anticoagulants	6
Establishing a perioperative medicine for older people undergoing surgery service for general surgical patients at a district general hospital	6
The transition to consultant: Identifying gaps in higher specialist training	6
Attitudes toward deprescribing for hospital inpatients	6
How should we define a ‘good’ outcome from encephalitis? A systematic review of the range of outcome measures used in the long-term follow-up of patients with encephalitis	6
Modulating the gut–liver axis and the pivotal role of the faecal microbiome in cirrhosis	6
Lessons of the month 3: ST-elevation myocardial infarction and left ventricular thrombus formation: an arterial thrombotic complication of severe COVID-19 infection	6
Arterial and venous thrombotic stroke after ChAdOx1 nCoV-19 vaccine	6
Understanding the diagnosis and management of multisystem inflammatory syndrome in adults (MIS-A) in the UK: results of a national Delphi process	6
Lessons of the month: Nitrous oxide-induced functional vitamin B12 deficiency causing subacute combined degeneration of the spinal cord	6
Delayed rhabdomyolysis secondary to anabolic-androgenic steroid use	5
The foot in diabetes – a reminder of an ever-present risk	5
Immune checkpoint inhibitor-mediated hypophysitis: no place like home	5
The prognostic value of chest X-ray in patients with COVID-19 on admission and when starting CPAP	5
A practical approach to the patient with chronic diarrhoea	5
‘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)	5
Supporting people who have eating and drinking difficulties	5
The surgical management of obesity	5
SARS-CoV-2 antibody seroprevalence in NHS healthcare workers in a large double-sited UK hospital	5
Outliers from national audits: their analysis and use by the Care Quality Commission in quality assurance and regulation of healthcare services in England	5
Uncommon forms of diabetes	5
A content analysis of contributory factors reported in serious incident investigation reports in hospital care	5
COVID-19: The impacts on foundation training in district general hospitals in the East of England and the East Midlands	5
Prevalence and socio-demographic factors of SARS-CoV-2 antibody in multi-ethnic healthcare workers	5
Cancer immunotherapy and the management of side effects	5
The cost of providing mechanical thrombectomy in the UK NHS: a micro-costing study	5
Pulmonary CT imaging findings in fat embolism syndrome: case series and literature review	5
Implementation of virtual reality technology to decrease patients' pain and nervousness during colonoscopies: a prospective randomised controlled single-blinded trial	5
Sepsis and the brain: a review for acute and general physicians	5
The safety of anaesthetists and intensivists during the first COVID-19 surge supports extension of use of airborne protection PPE to ward staff	5
Incorporating SPACES recommendations to the COVID-19 ward care approach at the Royal Bournemouth Hospital	5
The ethics and politics of addressing health inequalities	5
What's in a name: How do junior doctors address their consultants?	5
A case of dapsone-induced methaemoglobinaemia	5
ChatGPT in medical practice, education and research: malpractice and plagiarism	5
Thrombocytopenia: the good, the bad and the ugly	5
The management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: key points from the ESC 2020 Clinical Practice Guidelines for the general and emergency physi	5
Distribution of contemporary sensitivity troponin in the emergency department and relationship to 30-day mortality: The CHARIOT-ED substudy	5
Resistant type 2 amiodarone-induced thyrotoxicosis responsive to cholestyramine as an adjunctive therapy	4
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	4
Frequent identical admission–readmission episodes are associated with increased mortality	4
Immunobullous disease	4
Functional gastrointestinal disorders: History taking skills in practice	4
From paper to paperless: Do electronic systems ensure safe and effective communication and documentation of DNACPR decisions?	4
Differences in presentation, severity and management of DKA in type 1 and type 2 diabetes during the COVID-19 pandemic	4
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	4
Consent for blood transfusion: summary of recommendations from the Advisory Committee for the Safety of Blood, Tissues and Organs (SaBTO)	4
How to approach acute thrombosis and thrombocytopenia	4
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	4
Lessons of the month: Not just morning sickness	4
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	4
Images of the month: An incidental finding of spontaneous pneumomediastinum (Hamman's syndrome) secondary to diabetic ketoacidosis during the coronavirus pandemic	4
Utility of severity assessment tools in COVID-19 pneumonia: a multicentre observational study	4
Tuberculous arthritis of the ankle joint masquerading as rheumatoid arthritis in a patient with lupus nephritis	4
Real-world experience of SARS-CoV-2 antibody assays in UK healthcare workers	4
Public knowledge and information sources for clinical trials among adults in the USA: evidence from a Health Information National Trends Survey in 2020	4
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	4
SARS-CoV-2 pandemic and the cardiovascular system: What the non-cardiologist needs to know	4
Inpatient hyperglycaemia, and impact on morbidity, mortality and re-hospitalisation rates	4
Research in brief: Prone positioning in COVID-19: What's the evidence	4
A human factors approach to quality improvement in oxygen prescribing	4
Emerging tropical neurological infections	4
Acute neurological consequences of novel psychoactive substance use: a retrospective review in a large UK hospital	4
Prime time for handheld echocardiography in COVID-19 pandemic	4
The protective effect of previous COVID-19 infection in a high-prevalence hospital setting	4
Potential to reduce antibiotic use in secondary care: Single-centre process audit of prescription duration using NICE guidance for common infections	4
Hyperosmolar hyperglycaemic state as a stroke cause or stroke mimic: an illustrative case and review of literature	4
Providing an acute oncology service during the COVID-19 pandemic	4
The role of physical activity in obesity: let's actively manage obesity	4
An update on the general management approach to common vasculitides	4
Future therapies for obesity	4
Low-fidelity simulation of medical emergency and cardiac arrest responses in a suspected COVID-19 patient – an interim report	4
Long-term outcomes of liver transplant recipients followed up in non-transplant centres: Care closer to home	4
Subarachnoid haemorrhage rules in the decision for acute CT of the head: external validation in a UK cohort	4