Clinical Medicine

Article	Citations
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	188
A rare presentation of Castleman disease	118
Pembrolizumab-induced diffuse myositis in a patient of metastatic colon cancer: a case report	99
Pericardial effusion and lung cancer: a retrospective analysis	90
Reliability of BNP to exclude heart failure	82
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	69
Hypothermic episodes during hospital admission and the correlation with clinical condition and mortality in different age groups	66
Effects of COVID-19 on primary percutaneous coronary intervention admissions: is there hidden morbidity?	61
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	57
Subacute dyspepsia: a curious presentation of an ominous pathology	39
Ambulatory management of diabetic foot complications	35
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	34
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	33
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	32
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	31
Risk factors for falls among elderly patients admitted to Colombo North Teaching Hospital, Sri Lanka: a cross-sectional analysis	28
Hormone therapy in the management of stage four (asymptomatic metastatic) breast cancer in women	26
Giant cell arteritis with normal inflammatory markers	22
Pfizer COVID-19 vaccine-induced peritonitis	22
A 'catastrophic’ fall!	21
Improving anaesthetic chart documentation	19
Tumour-induced osteomalacia	19
Risk Factors and An Interpretability Tool of In-hospital Mortality in Critically Ill Patients with Acute Myocardial Infarction	18
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	17
Transforming Trans-nasal Endoscopy Services: A multicentre service evaluation pilot project	17

Case series of choledocholithiasis more than 25 years after cholecystectomy	16
WITHDRAWN: Implementation of SAMPL Guidelines in 100 clinical medicine articles: enhancing statistical reporting and recommendations for biomedical journals	15
Delivering an enhanced pleural procedural skill teaching programme for UK physicians in a tertiary UK hospital	15
Letter to the editor: “Implementation of ultrasound-guided cannulation training for foundation doctors”	15
Bilateral adrenal infarction and secondary haemorrhage in pregnancy: implications of factor V Leiden heterozygosity. A review of the literature and a case report	14
Chest CT features and functional correlates of COVID-19 at 3 months and 12 months follow-up	14
Table of Contents	14
Practical approach to anti seizure medications, an update	13
Improving quality in adult long covid services: Findings from the LOCOMOTION quality improvement collaborative	13
Provision of acute oncology services in the UK: data from the Society for Acute Medicine Benchmarking Audit 2022 (SAMBA22)	13
How to approach acute thrombosis and thrombocytopenia	13
Effects of sulphur thermal water inhalations in long-COVID syndrome: Spa-centred, double-blinded, randomised case–control pilot study	13
Health-related quality of life following TAVI or cardiac surgery in patients at intermediate and low risk: a systematic review and meta-analysis	12
The feasibility of a novel national quality improvement programme for tobacco dependency treatment pathways in acute UK hospitals	12
Case report; A rare evolving disorder of multiple lesions with an elusive diagnosis	11
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	11
The domino effect: A retrospective audit of inpatient falls at a district general hospital	11
Melanosis coli and colorectal cancer: Coincidence or correlated?	11
Compliance to the ULHT trust protocol in the investigation and management of hypokalaemia	11
It all started with a sore throat: Polymicrobial septicaemia, cavitating lung lesions and severe thrombocytopenia	10
Trends and burden of colon and rectum cancer attributable to high BMI in the United States from 1990 to 2019	10
Cardiac rehabilitation: The forgotten intervention in patients with congenital heart disease	10
Heart failure caused by chronic obstructive pulmonary disease in the United Kingdom: A burden and trend analysis, 1990–2019	10
Let's voice it- bridging the cervical screening health inequality among sexual minority women	10
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	10
NEWS2 shows low sensitivity and high specificity for delirium detection: a single site observational study of 13,908 patients	9
Doing simple things well can achieve significant benefits	9
Diagnosis and management of non-cystic fibrosis bronchiectasis	9
Approach to pancytopenia: From blood tests to the bedside	9
A teenager with ophthalmoparesis and dysphagia	9
Titration of antihypertensive therapy to mitigate the risk of falls	9
Acute quadriplegia and epileptic seizures in a 47-year-old man	9
Images of the month 1: ‘Soy sauce’ pleural effusion: what causes black pleural fluid?	9
A guide to functional disease for a trauma conscious generation	9
Lesson of the month: Cerebral amyloid angiopathy masquerading as recurrent transient ischaemia attacks in an older adult	9
Update in the diagnosis and management of acute pulmonary embolism for the non-respiratory physician	9
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	9
Mental health stigma in the medical profession: Where do we go from here?	9
Pulmonary endemic mycoses	8
Multiple transfusion request audit	8
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	8
Cardio pulmonary resuscitation (CPR) in the frail and those with multiple health conditions: Outcomes before and during the COVID pandemic	8
Assessing health inequalities in local pulmonary tuberculosis (pTB) care in southeast London through data analysis and patient and public involvement and engagement (PPIE)	8
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	8
Cocaine levamisole associated auto-immune spectrum: A case series	8
Improving diabetes screening in acute coronary syndrome patients: A quality improvement initiative	8
Sex related differences of chronic kidney disease due to diabetes mellitus type 1 in the United Kingdom: A comparative analysis of burden and trends, 1990–2019	8
Metabolic emergencies in pregnancy	7
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	7
Images of the month 2: Pulmonary artery pseudoaneurysm formation within uterine leiomyosarcoma metastases	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
Incidence of traumatic lumbar punctures in adults: the impact of a patient's first procedure	7
Diagnosis and management of ventricular tachycardia	7
SARS-CoV-2 antibody seroprevalence in NHS healthcare workers in a large double-sited UK hospital	7
Hyperbaric oxygen therapy for the treatment of long COVID	7
Formalised curiosity	7
A comparison of emergency department presentations for medically unexplained symptoms in frequent attenders during COVID-19	7
Research activity among physicians in the United Kingdom: results from the Royal College of Physicians Census 2022	7
A quality improvement project to minimise door to needle time in acute ischaemic stroke patients at a quaternary hospital, Kochi, India	7
Acute pain management for older adults	7
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	7
CME: Clinical oncology (143247): self-assessment questionnaire	7
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	7
Absence of monitoring in withdrawal of clinically-assisted nutrition and hydration (CANH) and other treatments: a cause for concern?	7
Evaluation of a specialist cognitive clinic for the Deaf community	6
When common things aren't so common: A case report of hepatopulmonary syndrome	6
Cutaneous manifestations of infections: an update for general physicians	6
Management of hyperglycaemia in people with obesity	6
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	6
Image of the month: ‘Hourglass left ventricle’ in mid-ventricular hypertrophic cardiomyopathy	6
Foundation doctors’ perspectives on the impact of the COVID-19 pandemic and lessons for the future	6
Image of the month: An unusual cause of cough, stridor and dyspnoea: A giant aortic arch aneurysm	6
Response	6
The assessment and management of obstructive sleep apnoea–hypopnoea syndrome and obesity hypoventilation syndrome in obesity	6
The individualisation of glycaemic targets in response to patient characteristics in type 2 diabetes: a scoping review	6
Iron deficiency without anaemia	6
Lessons of the month 1: Cardiac tamponade: don't forget the pancreas	6
Acute neurological consequences of novel psychoactive substance use: a retrospective review in a large UK hospital	6
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	6
Mesenteric ischaemia following posterior myocardial infarction	6
Do respiratory physicians not care about people who smoke?	6
CME: Haematology (140053): self-assessment questionnaire	6
Making research everybody's business: a position statement of the Royal College of Physicians and the National Institute of Health and Care Research	5
Accidental colourful mushroom poisoning – delirium, delusions and dreams	5
Sepsis and the brain: a review for acute and general physicians	5
Antiplatelet treatment for acute secondary prevention of non-cardioembolic minor stroke / transient ischaemic attack: an update for the acute physician	5
Do not attempt cardiopulmonary resuscitation (DNACPR) and treatment escalation plan (TEP) decisions: Developing a trust-wide audit	5
‘Food for thought’: The importance of nutrition to patient care and the role of the junior doctor	5
Nitrous oxide misuse: a clue not to be missed in young patients with venous thromboembolism	5
Failing the frail: The need to broaden the COVID-19 case definition for geriatric patients	5
Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	5
Frailty on the acute medical take	5
Understanding the diagnosis and management of multisystem inflammatory syndrome in adults (MIS-A) in the UK: results of a national Delphi process	5
Where now for infection services in the NHS? What about children?	5
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	5
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	5
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	5
The association of pleural effusion and pulmonary embolism	5
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	5
The significance of the gut microbiome in post-COVID-19 gastrointestinal symptoms	5
A human factors approach to quality improvement in oxygen prescribing	4
Marantic endocarditis and stroke: Case presentation	4
Future therapies for obesity	4
Diplopia: Diagnosis and management	4
Fibromyalgia and attention deficit hyperactivity disorder	4
Liver diseases in pregnancy	4
The unspoken benefit of participation in a clinical trial	4
Thyroid disease in pregnancy	4
Lessons of the month 2: Olanzapine-induced hypothermia and hand oedema	4
Differential effects of oral versus intravenous hydrocortisone and dexamethasone on capillary blood glucose levels in adult inpatients − a single centre study	4
Orthostatic hypotension in older people: considerations, diagnosis and management	4
How do we identify acute medical admissions that are suitable for same day emergency care?	4
Body fat changes and risk of new onset of hypertension and hyperlipidaemia among Korean adults: A longitudinal study	4
Effective bedside teaching as a foundation doctor	4
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	4
Pulmonary CT imaging findings in fat embolism syndrome: case series and literature review	4
The diagnosis and treatment of catatonia	4
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	4
COVID-19 in pregnancy	4
Prescribing for change – safer antimicrobial use in hospitals	4
Severe hypertension in pregnancy	4
Improving the systematic screening and documentation of mental capacity for patients with severe brain injury: The Mental Capacity Screening assessment tool (MCScreen)	4
Investigation and assessment of adrenal incidentalomas	4
Health and work: what physicians need to know	4
The UK research ethics committee: Making the case for better serving the underserved – can we do better?	4
Lessons of the month 1: Shoshin beriberi: A case report of fulminant cardiovascular collapse, intractable hyperlactatemia and deteriorating consciousness	4
NEWS2, patient safety and hypercapnic respiratory failure	4
An update on hyper-acute management of ischaemic stroke	4
Non-tuberculous mycobacterial pulmonary disease (NTM-PD): Epidemiology, diagnosis and multidisciplinary management	4
Malaria: Past, present and future	4

Design, implementation and evaluation of a spiral module combining data science, digital health and evidence-based medicine in the undergraduate medical curriculum: A mixed methods study	3
Improving secondary prevention in patients with acute coronary syndrome through electronic prescribing plans, a quality improvement project	3
Purple urine bag syndrome	3
Implementation of virtual reality technology to decrease patients' pain and nervousness during colonoscopies: a prospective randomised controlled single-blinded trial	3
Image of the month: Diagnostic and therapeutic challenges in the management of ectopic ACTH syndrome: a perfect storm of hypercortisolism, hyperglycaemia and COVID-19	3
Statin-induced, immune-mediated necrotising myopathy triggered by malignancy successfully treated with immunosuppression	3
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	3
A case of antisynthetase syndrome presenting solely with life-threatening interstitial lung disease	3
CME: Gastroenterology (147143): self-assessment questionnaire	3
Sleep measures and cardiovascular disease in type 2 diabetes mellitus	3
Development of a Northern Ireland PACES training course	3
Extending the reach of expert amyloidosis care: A feasibility study exploring the staged implementation of a UK amyloidosis network	3
Predicting outcomes in patients with acute kidney injury: Our experience in a district general hospital	3
Inflammatory eye disease: An overview of clinical presentation and management	3
Austrian syndrome: Report of one case and a systematic review of case reports – new insights	3
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	3
Bullous Sweet's syndrome in rheumatoid arthritis after streptococcal pharyngitis	3
What is the impact of COVID-19 on complaints against doctors?	3
Inpatient hyperglycaemia, and impact on morbidity, mortality and re-hospitalisation rates	3
Forgotten biliary stents: A retrospective review of practice in a district general hospital	3
COP27 Climate Change Conference: urgent action needed for Africa and the world	3
Next-generation sequencing and molecular therapy	3
Keeping abreast of change – learning from specialist practice	3
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	3
Diagnostic accuracy of serum procalcitonin levels in early detection of bacterial infections	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
Nitrous oxide induced spinal cord oedema with normal serum B12 level with high plasma homocysteine level	3
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	3
Scleroderma/juvenile dermatomyositis overlap syndrome in a teenager: A gripping diagnosis	3
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	3
Treatment of hypercalcaemia of malignancy in adults	3
NEWS and the NHS	3
Monoclonal gammopathies of renal significance	3
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	3
Patients with cancer and sepsis trials: an unfair representation?	3
Quality metrics for same day emergency care—Consensus of a multi-professional panel of experts using a modified Delphi process	3
Dilated gut conditions: diagnosis and management	3
Multidisciplinary medical management of severe thyrotoxicosis with multiorgan dysfunction in pregnancy: A case report	3
Characteristics of presentation and management of people with hypoglycaemia while on continuous glucose monitoring devices - Pilot data from DEKODE hypoglycaemia study	3
Economic evaluation of HLA-B*15:02 genotyping in Asian Australian epilepsy patients	3
Improving ECG interpretation skills of junior doctors: Embracing the rhythm of the heart	3
The new national clinical guideline for stroke: an opportunity to transform stroke care	3
CME: Obstetrics (136605): self-assessment questionnaire	2
Challenges for the maintaining the microbiological safety of the UK blood supply	2
Call for emergency action to limit global temperature increases, restore biodiversity and protect health	2
Ethnicity as a predictor of nonmotor symptoms impact on quality of life in patients with Parkinson's disease: A systematic review	2
A rare involvement in skin cancer: Merkel cell carcinoma with bone marrow infiltration in a kidney transplant recipient	2
Providing an acute oncology service during the COVID-19 pandemic	2
CME: Ophthalmology (139347): self-assessment questionnaire	2
Acute renal embolism in atrial fibrillation associated with rheumatic mitral stenosis	2
The issue of decisiveness in the COVID-19 outbreak in Korea	2
Insulin therapy for the non-specialist physician	2
Individualised therapeutic approach to the patient with atypical haemolytic-uraemic syndrome	2
Enhanced neurotrauma services: physician input into traumatic brain injury care	2
Images of the month 2: No laughing matter: Symptomatic Chiari malformation type I	2
Severe measles with pneumonitis in an immunocompetent adult	2
Unwelcome guests: infectious disease beyond the pandemic	2
Lessons of the month 1: Longitudinal extensive transverse myelitis following AstraZeneca COVID-19 vaccination	2
Consent for blood transfusion: summary of recommendations from the Advisory Committee for the Safety of Blood, Tissues and Organs (SaBTO)	2
Hospital at home – developing a simulation induction programme for junior doctors	2
Pregnancy-induced atypical haemolytic uraemic syndrome	2
The utility of a local multidisciplinary working group to oversee the establishment of rapidly evolving standards of care and to support trial recruitment during the COVID-19 pandemic	2
Perceptions of the impact of annual review of competence progression (ARCP): a mixed methods case study	2
Inpatient COVID-19 vaccination rollout: Improving access to vaccination	2
Arterial and venous thrombotic stroke after ChAdOx1 nCoV-19 vaccine	2
An unexpected case of cryoglobulinaemia vasculitis that presented as respiratory failure	2
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	2
Posterior circulation ischaemic stroke diagnosis and management	2
Higher incidence of new atrial fibrillation in hospitalised COVID-19 patients compared to lower respiratory tract infection, however, less patients prescribed anticoagulants at discharge	2
Framing the shot: a surprise finding of multiple foreign bodies on coronary angiography	2
Implementing a novel protocol for withdrawal of CPAP support in COVID-19 patients: a case series	2
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	2
Impacting outcomes in acute care	2
Utilising accessible and reproducible neurological assessments in clinical studies: Insights from use of the Neurological Impairment Scale in the multi-centre COVID-CNS study	2
Assessment of obesity	2
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	2
Screening success: A virtual MDT can reduce the number of patients requiring respiratory follow-up post-COVID-19 pneumonia in line with British Thoracic Society guidance	2
The role of physical activity in obesity: let's actively manage obesity	2
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	2
Artery of Percheron infarct: hiding in plain sight	2
The emerging pillars of chronic kidney disease: no longer a bystander in metabolic medicine	2
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	2
Great balls of fire! The basal ganglia on fire	2
A case of embolic stroke and failed treatment with anticoagulation with papillary fibroelastoma	2
Two cases of intestinal perforation due to mesenteric artery embolism during extracorporeal membrane oxygenation and intra-aortic balloon pumping	2
A late diagnosis of infective endocarditis (IE) in the Covid 19 Infection: A near fatal experience	2
Infectious diseases at the front door: Focus on the fundamentals	2
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	2
A rare cause of atypical facial pain	2
Hearts and minds	2
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	2
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	2
COVID-19 infection causing residual gastrointestinal symptoms – a single UK centre case series	2
Lessons of the month 2: A case of inappropriate drug–drug interaction in kidney transplant	2
Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?	2