Clinical Medicine

Article	Citations
Multiple transfusion request audit	143
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	137
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	127
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	108
Endoscopic surveillance in patients with oesophageal varices in alcoholic liver cirrhosis	94
Audit on parental awareness of minimising added sugar intake during complementary feeding	94
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	66
Doing simple things well can achieve significant benefits	50
Case series of choledocholithiasis more than 25 years after cholecystectomy	49
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	38
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	37
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	35
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	33
Ambulatory management of diabetic foot complications	30
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	29
Diagnosis and management of non-cystic fibrosis bronchiectasis	29
Effective bedside teaching as a foundation doctor	28
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	26
Risk factors and an interpretability tool of in-hospital mortality in critically ill patients with acute myocardial infarction	24
The medical licensing assessment (MLA) content map: A list is not a syllabus, and a syllabus is not a curriculum	23
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	22
How to approach acute thrombosis and thrombocytopenia	22
Diagnosis and management of ventricular tachycardia	22
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	21
Management of hyperglycaemia in people with obesity	20

Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	20
The diagnosis and treatment of catatonia	19
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	19
Association between lipid profile and disease activity in rheumatoid arthritis	18
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	17
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	16
Enhanced neurotrauma services: physician input into traumatic brain injury care	16
Hospital at home – developing a simulation induction programme for junior doctors	15
Temporal trends in the burden of multiple sclerosis in the UK over the past three decades	15
Unwelcome guests: infectious disease beyond the pandemic	15
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	15
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	15
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	15
Causes of obesity: a review	14
Purple urine bag syndrome	14
The trend in deaths from alcoholic liver disease (ALD) over the past decade	14
Hyperbaric oxygen therapy for the treatment of long COVID: early evaluation of a highly promising intervention	14
An update on the clinical approach to giant cell arteritis	14
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	14
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	14
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	14
Spectrum of anaemia in rheumatic diseases and the involvement of rheumatologists in the management: a single centre study	14
Isolated cardiac sarcoidosis: A clinical challenge	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
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	13
Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica	13
Decoding cardiac masquerade: Arrhythmogenic cardiomyopathy camouflaging as acute myocardial infarction	13
Health means more than just healthcare	13
Engagement in research during specialist geriatric medicine training: results of a national trainee survey	13
Population-specific DPYD variants and fluoropyrimidine toxicity risk: an analysis using public genomic databases	12
Table of Contents	12
Temporal trends in the burden of chronic obstructive pulmonary disease in the UK over the past three decades	12
Improving antimicrobial prescribing in adults hospitalised with community-acquired pneumonia in a district general hospital of West Yorkshire	12
From hypertension to heart failure: The missed clues of transthyretin cardiac amyloidosis	11
Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation	11
Safe to transfuse? An audit on quality and practices in blood transfusion sampling and labelling in the accident and emergency (A&E) department.	11
Same-day emergency care	11
Effectiveness of pre- and post-operative 4AT assessment in monitoring delirium in hip fracture patients	11
Dynamics of minimal residual disease and its clinical implications in multiple myeloma: A retrospective real-life analysis	11
Rapid echocardiography in the primary angioplasty era for timely detection and management of acute Stanford type A aortic dissection: a case illustration	10
The use of tociluzimab in COVID-19 inpatients: experience from a district general hospital	10
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	10
Table of Contents	10
Chronic lymphocytic leukaemia in the elderly	10
The BSG/BASL bundle for patients admitted with decompensated chronic liver disease improves standard of care but utilisation is poor across the UK	10
The rapid progression of Creutzfeldt–Jakob disease with concomitant COVID-19 infection: a case report	10
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	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
Thrombocytopenia: the good, the bad and the ugly	9

Editorial: Learnings from all walks of medical practice	9
The use of metaverse in medical education: A systematic review	9
A rare case of TEN-like acute cutaneous lupus	9
A rare complication of DRESS syndrome in the treatment of cardiac device-related lead thrombus and infective endocarditis	9
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	9
The diagnosis of fibromyalgia syndrome	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
How to approach haemolysis: Haemolytic anaemia for the general physician	9
Cancer immunotherapy and the management of side effects	8
Can advance care planning (ACP) improve patients' journey with advanced dementia and their families? A 1-year follow-up study	8
DVT: is it really an SDEC pathway? A retrospective review of SDEC DVT demand and outcomes across Surrey Heartlands ICS	8
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	8
Optimisation of strategies for management of heart failure with preserved ejection fraction	8
Atypical presentation of young stroke with vertebral artery dissection	8
Controversies in thyroid disease management in pregnancy	8
Acute Epstein–Barr virus hepatitis without infectious mononucleosis: a diagnostic challenge	8
Diagnostic accuracy of CADe-assisted reading versus clinician reading for polyp detection in colon capsule endoscopy: a multicentre prospective study	8
Secondary hemophagocytic lymphohistiocytosis: an unusual complication in disseminated Mycobacterium tuberculosis	8
People living in homeless hostels: a survey of health and care needs	7
Medicine’s beauty lies in lifelong learning, reflection and research	7
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	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
Idiopathic multicentric Castleman disease and its rare association with peripheral neuropathy and stroke	7
Severe acute pulmonary embolism in pregnancy	7
Table of Contents	7
Cancer immunotherapy and the management of side effects	7
The management of severe eczema in pregnancy	7
Use of proton pump inhibitors (PPI) in patients with acute coronary syndrome (ACS) receiving dual-antiplatelet therapy (DAPT)	7
Importance of point of care ultrasound in the diagnosis of severe mitral regurgitation	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
Applications of musculoskeletal ultrasound in inflammatory arthritis	7
NEWS2 and the older person	7
A genetic paradigm shift: Deciphering stress-induced molecular mechanisms fuelling cancer genesis	7
The appropriateness of penicillin allergy de-labelling by non-allergist clinical ward teams	7
Do you need a weatherman to know which way the wind blows?	7
Management of pituitary incidentalomas	7
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
Seeing what others see while thinking what others have not	6
Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review	6
Time for preference-informed foundation allocation?	6
Pregnancy-specific dermatoses for the resident physician	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
Prediction of admission to a low-resource sub-Saharan hospital by mental status, mobility and oxygen saturation recorded on arrival: a prospective observational study	6
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited	6
Treat staff like they make a difference, and they will	6
Learning from the past rather than living in it	6
Infectious pulmonary tuberculosis patients who inadvertently had spirometry in a tertiary care pulmonary service in southern India	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
Genomics in the kidney clinic	6
Attitudes toward deprescribing for hospital inpatients	6
Table of Contents	5
Lesson of the month: Cytotoxic lesions of the corpus callosum (CLOCCs) in status epilepticus	5
CME: Geriatric medicine (141062): self-assessment questionnaire	5
The false positive troponin results: case studies of analytical interference	5
Outpatient parenteral antibiotic treatment for infective endocarditis: A retrospective observational evaluation	5
Clinical academics’ experiences of REF2021	5
Demographic characteristics of patients with giant cell arteritis in Sheffield, England	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
Isolated headache is not a reliable indicator for brain cancer: the 2-week wait pathway for suspected CNS malignancies	5
Core medical training to internal medicine training: progress or a step backwards?	5
COVID-19 infection as a parameter in the CHA2DS2 vascular risk assessment tool	5
Early applications of ChatGPT in medical practice, education and research	5
VF arrest secondary to immune checkpoint inhibitor (ICI)-associated myocarditis; improving patient outcomes by maintaining a high clinical suspicion for ICI toxicity	5
Cocaine-induced granulomatosis with polyangiitis: an under-recognised condition	5
Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project	5
Thromboelastography for rapid diagnosis of heparin-like anticoagulant release during anaphylaxis-induced coagulopathy in systemic mastocytosis: a case report	5
Four key problems that will need to be addressed during the next pandemic	5
Breathe easy: encouraging climate-conscious inhalers	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
The National Early Warning Score: from concept to NHS implementation	5
Bickerstaff's brainstem encephalitis: A diagnostic challenge	5
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	4
Putting your HAT on	4
E-cigarettes as a safe alternative to tobacco smoking? A deep dive into vape-associated pneumothorax (VASP)	4
The effect of CGRP monoclonal antibodies on cardiovascular disease	4
Prescribing for change – safer antimicrobial use in hospitals	4
Acute quadriplegia and epileptic seizures in a 47-year-old man	4

A teenager with ophthalmoparesis and dysphagia	4
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	4
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	4
Acute intermittent porphyria: is oseltamivir safe in these patients?	4
Harveian Oration 2020: Elucidation of molecular oxygen sensing mechanisms in human cells: implications for medicine	4
The unsung tale of the pied piper of haematology: insights from a case of renal transplant failure	4
Trends in hypertension diagnosis and control in Lagos, Nigeria from May measurement month 2023	4
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	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
Let's voice it- bridging the cervical screening health inequality among sexual minority women	4
The changing landscape of HIV epidemiology and management	4
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	4
The value of CT head scans for patients from care homes presenting to the emergency department following a fall	4
Audit of immunoglobulin monitoring and hypogammaglobulinaemia after B cell targeted therapy in a paediatric cohort in a high immune disease prevalence Region	4
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	4
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	4
Gout on the acute medical take	3
Secondary hyperparathyroidism in chronic kidney disease: A narrative review focus on therapeutic strategy	3
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	3
Acute urinary retention and constipation caused by multi-dermatomal herpes zoster in an immunosuppressed patient	3
Lesson of the month: Recurrent falls and hypoglycaemia in an older woman	3
Gin OR tonic: The dermatological hazards of cocktail-based quinine	3
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	3
Improving endotherapy training for upper gastro-intestinal bleeding (UGIB) using a novel, low cost, home-made porcine model	3
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	3
Infection in people with heart failure: an overlooked cause of adverse outcomes	3
Evaluating implementation of implantable cardioverter-defibrillator deactivation discussions in do not attempt cardiopulmonary resuscitation (DNACPR) forms: Audit from a tertiary care hospital in the	3
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	3
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	3
Enhancing personalised care in COPD exacerbation: the role of cardiac/inflammatory biomarkers	3
Strongyloides stercoralis infection in the UK: A systematic review and meta-analysis of published cases	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
Benefits of a falls service during the pandemic	3
The impact of insulin resistance on long-term outcomes in heart failure: a systematic review	3
Inflammatory eye disease: An overview of clinical presentation and management	3
Predicting outcomes for Crohn's disease using a molecular biomarker: profile trial	3
Developing chief investigators within the NHS: the West Midlands clinical trials scholars programme	3
Immunotherapy related acute kidney injury	3
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	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
Infectious diseases at the front door: Focus on the fundamentals	3
A retrospective audit of out-of-hours mechanical thrombectomy of anterior circulation large vessel occlusion in a UK tertiary centre	3
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	3
Approaches to building rapport with patients	3
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	3
Pulmonary endemic mycoses	3
Coeliac disease on the rise: the COVID-19 vaccination hypothesis	3
Effectiveness of NEWS in identifying acute deterioration in older adults	3
The development and introduction of a national e-learning programme to support the dissemination of NEWS2	3
What is the impact of COVID-19 on complaints against doctors?	3
Length of inpatient stay in patients with a suspected NSTEACS listed for invasive cardiac catheterisation	3
Sustainability in endoscopy: online endoscopy education platform significantly reduces carbon footprint of patient travel	3
Implementation of SAMPL guidelines: Recommendations for improving statistical reporting in biomedical journals	3
CME: Gastroenterology (147143): self-assessment questionnaire	3
Adherence to guidelines in the diagnosis and management of autoimmune hepatitis	3
Hyperglycaemia and inpatient mortality and morbidity	3
‘Passenger announcement: Is there a doctor on board?’ Tackling impostor phenomenon in the transition from medical student to foundation doctor	3
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	3
Posterior circulation ischaemic stroke diagnosis and management	3
Challenges in the diagnosis of systemic lupus erythematosus	3
Disseminated tuberculosis in a patient on anti-tumour necrosis factor (anti-TNF) therapy	3
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	3
Health literacy associates with clinical, treatment and work status in people with inflammatory arthritis: results from a national cohort	3
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	3
Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19)	3
Complex lupus management: when multiple organs demand precision	3
Advanced therapy screening in inflammatory bowel disease and the impact of clinical nurse specialists: A retrospective analysis of electronic patient records	3
Lesson of the month: Large vessel vasculitis: A rare cause of transaminitis	2
Emerging tropical neurological infections	2
Normal creatinine-kinase levels in post-COVID myositis: insights into localised muscle involvement	2
Management of asthma in pregnancy	2
The birth of an impactful PACES tutorials for international medical graduates after '39 pregnant weeks' of virtual PACES sessions	2
Achieving Improving Quality in Liver Services (IQILS) accreditation – lessons learned from one unit's experience	2
Improving oxygen prescribing on the Kardex in ward-level care	2
Sarcoidosis: Key disease aspects and update on management	2
Establishing a perioperative medicine for older people undergoing surgery service for general surgical patients at a district general hospital	2
Digital NEWS? How to amplify the benefits of NEWS in a digital healthcare system	2
Screening for delirium: a quality improvement audit in geriatric care	2
Skin of colour: essentials for the non-dermatologist	2
Pulmonary vein thrombosis: clot in the wrong vessel	2
Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop	2
Diffusion of responsibility: a clinical audit	2
Clinical utility of specialist respiratory outpatient review for all patients diagnosed with acute pulmonary embolism	2
Investigating the prescription patterns of HRT in women with type 2 diabetes and its effects	2
Patent foramen ovale: diagnostic evaluation and the role of device closure	2
A case of ascending paralysis in pregnancy: Thiamine deficiency mimicking Guillain–Barré syndrome	2
Identifying gaps and optimising clinical practice and guideline of adrenal incidentaloma management	2
Clinical approach to vision loss: a review for general physicians	2
Chronic exertional compartment syndrome – unpicking a tricky diagnosis in primary care	2
Letter to the Editor on Outpatient parenteral antibiotic treatment (OPAT) for infective endocarditis	2
Ambulatory investigation of palpitations, pre-syncope and syncope with AliveCor KardiaMobile and Wellysis S-Patch – a local joint working project	2
Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist	2