BMJ Best Practice Podcast

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden, GP and section editor, updates us on pulse oximetry, prognostic scoring, and management in hospital. And Abigail Davis, GP and section editor, covers Covid-19 vaccination and chronic conditions, including advice for patients wit...

Depression in children is characterised by sad or irritable mood, anhedonia, decreased capacity to have fun, decreased self-esteem, sleep disturbance, social withdrawal or impaired social relationships, and impaired school performance. It is one of the most common paediatric psychiatric disorders, especially among girls during adolescence. David A. Brent, Endowed Chair in Suicide Studies, Professo...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden, GP and section editor, updates us on vaccination and long covid-19. And Abigail Davis, GP and section editor, covers Covid-19 and comorbidities, namely endocrine conditions and bronchiolitis. For more, see: BMJ Best Practice's t...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden, GP and section editor, updates us on vaccination and the use of remdesivir. And Emma Scott, section editor, covers Covid-19 and comorbidities, namely COPD, learning disabilities and obesity. For more, see: BMJ Best Practice's to...

Asthma exacerbations present with acute or sub-acute onset of wheeze and respiratory distress, the symptoms and signs of which vary depending on the developmental and maturational age of the child. Triggers include viral or bacterial infection, inhaled allergens, environmental irritants, emotion, medications, and poor adherence with preventive therapy. Paul D. Robinson, Respiratory and Sleep Physi...

A recent meta-analysis by Espinosa and colleagues, “Prevalence of Comorbidities in Patients and Mortality Cases Affected by SARS-CoV2”, found that 42% of patients with Covid-19 had comorbidities. Furthermore, 61% of those with Covid-19 admitted to the Intensive Care Unit had comorbidities, and 77% of those who died had comorbidities. Hypertension was the most prevalent comorbidity (affecting 32% o...

Gestational diabetes develops during pregnancy and is usually diagnosed at 24 to 28 weeks of gestation on the basis of elevated plasma glucose levels on glucose tolerance testing. The goal of therapy is to achieve maternal glucose levels that are as close to normal as possible in order to avoid fetal macrosomia and complications. Chloe Zera, Assistant Professor, Harvard Medical School gives us a c...

Kieran Walsh, clinical director at BMJ, asks Matt Castleden, GP and editor for BMJ Best Practice and BMJ Learning, to summarise the latest clinical guidance in acute medicine. Dr Castleden updates us on recent recommendations on pulmonary embolism, and also acute respiratory distress and vaping associated lung injury. For more information, take a look at the BMJ Best Practice topic on pulmonary em...

Colonic diverticulosis refers to herniation of the mucosa and submucosa through the muscular layer of the colonic wall and may be the result of colonic smooth muscle over-activity. Diverticular disease may be defined as any clinical state caused by symptoms pertaining to colonic diverticula and includes a wide-ranging spectrum from asymptomatic to severe and complicated disease. Mohamed Thaha, Sen...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden updates us on the clinical use of antibody testing. And Abigail Davis discusses the impact of the pandemic on other conditions, including mental health and other infectious diseases. She also covers recommendations for influenza...

Anaphylaxis is a severe, generalised or systemic hypersensitivity reaction. It is characterised by rapidly developing life-threatening airway and/or breathing and/or circulation problems usually associated with skin and mucosal changes. Adriana Andreae, Assistant Professor, Department of Pediatrics Division of Allergy and Immunology, Penn State University, gives us an overview of the condition. Fo...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden updates us on treatment with steroids, PPE and symptoms of covid-19 which are present weeks or months after infection. And Emma Scott talks about surveys on the mental health of populations during the pandemic. For more, see: BMJ...

End of life care is specialised medical care for people with serious illness that focuses on the best quality of life for both the patient and their family. Oliver Minton, Macmillan Consultant, Brighton and Sussex University Hospital, Brighton, UK, gives us an overview of best practice in this area. For more on end of life care, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/1020 - The...

Fibromyalgia patients typically present with chronic, widespread body pain and almost always have accompanying comorbid symptoms such as fatigue, memory difficulties, and sleep and mood difficulties. Physical examination is typically normal but there is often diffuse tenderness. Daniel Clauw, Professor of Medicine, Division of Rheumatology, University of Michigan Health System, Ann Arbor, gives us...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden updates us on self-isolation and shielding, and resources for people recovering from Covid-19. Abigail Davis discusses new evidence on the impact of Covid-19 on emergency department attendances and hospital admissions, as well as...

Deep vein thrombosis (DVT) is the development of a blood clot in a major deep vein in the leg, thigh, pelvis, or abdomen, which may result in impaired venous blood flow and consequent leg swelling and pain. Scott C. Woller, Director, Thrombosis Clinic, Intermountain Medical Center, Murray and Professor of Medicine, University of Utah, gives us an overview of the condition. For more on DVT, visit B...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Abigail Davis discusses the latest guidance on ADHD and renal transplant patients care. And Matt Castleden updates us on care for covid-19 patients post discharge. For more, see: BMJ Best Practice's topic on management of coexisting conditions...

Chest pain is a common chief complaint. It may be caused by either benign or life-threatening aetiologies and is usually divided into cardiac and non-cardiac causes. James E. Brown, Professor and Chair, Wright State University Boonshoft School of Medicine, Kettering, Ohio, gives us an overview of assessing chest pain in the emergency setting. For more on assessing chest pain, visit BMJ Best Practi...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Emma Scott discusses the latest guidance on cardiovascular disease. And Matt Castleden updates us on NHS Test and Trace, shielding, and social distancing. He also covers the news on dexamethasone as a treatment for covid-19. For more, see: BMJ...

Patients with anorexia nervosa typically have low body weight, intense fear of gaining weight, and a body image disturbance. In this podcast Evelyn Attia, Professor of Psychiatry, Columbia University and Weill Cornell Medical College, New York, gives a clinical overview of the condition. For more on anorexia nervosa, visit BMJ Best Practice: bestpractice.bmj.com/topics/en-gb/440 - The purpose of t...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Abigail Davis talks about advice for patients with osteoporosis, and also those with migraine. Emma Scott discusses the latest guidance on HIV. And Matt Castleden updates us on covid-19 management. For more, see: BMJ Best Practice's topic on ma...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Abigail Davis talks about advice for patients with chronic kidney disease. Emma Scott discusses the latest guidance on interstitial lung disease. And Matt Castleden updates us on covid-19 testing for healthcare workers. For more, see: BMJ Best...

Schizophrenia onset is usually in early adulthood and may be preceded by years of ill-differentiated symptoms, from behavioural changes and delusions to frank psychosis. Initially, patients are usually referred by family members. As the illness progresses, patients tend to self-refer or are brought in by a case manager or law enforcement officer. Antipsychotic therapy and psychosocial intervention...

Kieran Walsh, clinical director at BMJ, asks editors from BMJ Learning and BMJ Best Practice to summarise the latest clinical guidance related to covid-19. Matt Castleden covers dermatological manifestations of covid-19. Emma Scott discusses the latest guidance on CPR. And Abigail Davis talks about advice for newborn care. For more, see: BMJ Best Practice's topic on management of coexisting condit...

Irritable bowel syndrome symptoms include recurrent abdominal pain or discomfort that is associated with a change in stool frequency or form. The pain or discomfort may be relieved by defecation. Ned Synder, Chief of Gastroenterology and Hepatology, Kelsey-Seybold Clinic and Clinical Professor of Medicine, Baylor College of Medicine, Houston gives us an overview of the condition. For more on IBS,...