This woman has the baby-blues which is seen in around two-thirds of women. Whilst poor sleeping can be a sign of depression it is to be expected with a new baby! Post-partum mental health problems Post-partum mental health problems range …
Early morning waking is a classic somatic symptom of depression and often develops earlier than general insomnia. Palpitations and nausea and more common with anxiety. Excessive gambling may suggest either a simple gambling addiction or be part of a hypomanic/manic …
Next question Dosulepin – avoid as dangerous in overdose Tricyclic antidepressants Tricyclic antidepressants (TCAs) are used less commonly now for depression due to their side- effects and toxicity in overdose. They are however used widely in the treatment of neuropathic …
Elbow pain The table below details some of the characteristic features of conditions causing elbow pain: Lateral epicondylitis (tennis elbow) Features pain and tenderness localised to the lateral epicondyle pain worse on resisted wrist extension with the elbow extended or …
Rheumatoid arthritis: diagnosis NICE have stated that clinical diagnosis is more important than criteria such as those defined by the American College of Rheumatology. 2010 American College of Rheumatology criteria Target population. Patients who 1) have at least 1 joint …
Urethritis + arthritis + conjunctivitis = reactive arthritis Two of the classic three features of reactive arthritis (urethritis, arthritis and conjunctivitis) are present in this patient. The family history of colorectal cancer is of no particular significance. Symptoms of reactive …
Elbow pain The table below details some of the characteristic features of conditions causing elbow pain: Lateral epicondylitis (tennis elbow) Features pain and tenderness localised to the lateral epicondyle pain worse on resisted wrist extension with the elbow extended or …
Reactive arthritis Reactive arthritis is one of the HLA-B27 associated seronegative spondyloarthropathies. It encompasses Reiter’s syndrome, a term which described a classic triad of urethritis, conjunctivitis and arthritis following a dysenteric illness during the Second World War. Later studies identified …
eGFR variables – CAGE – Creatinine, Age, Gender, Ethnicity Chronic kidney disease: eGFR and classification Serum creatinine may not provide an accurate estimate of renal function due to differences in muscle. For this reason formulas were develop to help estimate …
ADPKD type 1 = chromosome 16 = 85% of cases ADPKD Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of kidney disease, affecting 1 in 1,000 Caucasians. Two disease loci have been identified, PKD1 and PKD2, …