Interpreting raised serum ferritin levels | The BMJ
WEBAug 3, 2015 · Ferritin is an intracellular iron storage protein and a marker of iron stores. Normal serum ferritin levels vary between laboratories but generally concentrations >300 µg/L in men and postmenopausal women and >200 µg/L in premenopausal women are regarded as elevated. 1 Low ferritin values provide absolute evidence of iron deficiency. …
Essential tremor: diagnosis and management - The BMJ
WEBAug 5, 2019 · Essential tremor is one of the most common movement disorders in adults and can affect both children and adults. An updated consensus statement in 2018 redefined essential tremor as an isolated action tremor present in bilateral upper extremities for at least three years. Tremor may also be present in other locations, commonly the neck or …
Pregabalin and gabapentin for pain | The BMJ
WEBApr 28, 2020 · Pregabalin and gabapentin, collectively gabapentinoids, are primarily anticonvulsant drugs. Over the past decade, they have been increasingly prescribed for pain. 1 They are recommended for neuropathic pain in adults 2 3 (table 1), but are commonly used off-label for other pain disorders such as low back pain, sciatica, and …
The BMJ: Leading Medical Research, News, Education, Opinion
WEBLebanon: Israeli attack endangers a healthcare system reliant on Hezbollah. With 3.5 million people in need, a doctor exodus, and some regions served by the very military group that Israel seeks to rout, Lebanon’s healthcare system is in crisis. Sally Howard reports. News. ∙ Lebanon’s health system struggles as dozens of clinics close ...
Fetal monitoring in labour: summary and update of NICE guidance
WEBDec 16, 2022 · The new guideline on fetal monitoring emphasises that women are the decision makers; clinicians support decision making. A change in the fetal heart rate pattern indicates a change in the fetal condition. Fetal heart rate monitoring is only one element of fetal assessment in labour. Risk assessment should be performed hourly in labour for all ...
Impact of vaping on respiratory health | The BMJ
WEBJul 18, 2022 · Widespread uptake of vaping has signaled a sea change in the future of nicotine consumption. Vaping has grown in popularity over the past decade, in part propelled by innovations in vape pen design and nicotine flavoring. Teens and young adults have seen the biggest uptake in use of vape pens, which have superseded conventional …
Interpreting iron studies | The BMJ
WEBJun 15, 2017 · What is included in iron studies? Ferritin—is the intracellular storage form of iron.A very small amount is found in serum. In inflammation, liver disease, and malignancy, ferritin levels can rise because ferritin is an acute phase protein.4 In these patients, ferritin can appear either falsely high or normal, when in reality stores are low. Serum …
Latest guidance on the management of gout | The BMJ
WEBJul 18, 2018 · Gout is the most common inflammatory arthritis and its incidence in the UK has steadily increased from 1.5% in 1997 to 2.5% in 2012. 1 2 It is characterised by deposition of monosodium urate crystals in joints and tissues and usually presents with intermittent painful attacks followed by long periods of remission. 3 Here, we review the …
Safe handover - The BMJ
WEBOct 9, 2017 · #### What you need to know High quality handovers are essential for safe healthcare and are used in many clinical situations. Miscommunication during handovers can lead to unnecessary diagnostic delays, patients not receiving required treatment, and medication errors.1 Miscommunication is one of the leading causes for adverse events …
Postural hypotension - The BMJ
WEBApr 23, 2021 · Postural hypotension is a drop in blood pressure (≥20 mm Hg systolic and/or ≥10 mm Hg diastolic) that occurs within 3 minutes of standing. Test for it in people who have symptoms of lightheadedness or dizziness on changing from lying or sitting to standing posture or those with an unexplained fall. Age over 60 years, diabetes, …