Clinical Medicine

Article	Citations
Autonomic dysfunction in ‘long COVID’: rationale, physiology and management strategies	452
Ulcerative colitis: an update	133
Psoriasis: a brief overview	130
Long-term sequelae following previous coronavirus epidemics	88
The impact of false positive COVID-19 results in an area of low prevalence	82
Early applications of ChatGPT in medical practice, education and research	81
Developing services for long COVID: lessons from a study of wounded healers	73
Non-steroidal anti-inflammatory drugs and the gastrointestinal tract	71
A practical review of functional neurological disorder (FND) for the general physician	71
Acute myocarditis: aetiology, diagnosis and management	65
Iron deficiency without anaemia: a diagnosis that matters	65
Leptospirosis: clinical aspects	63
Management of functional gastrointestinal disorders	61
Perspective: Vitamin D supplementation prevents rickets and acute respiratory infections when given as daily maintenance but not as intermittent bolus: implications for COVID-19	53
Dengue infection: Global importance, immunopathology and management	52
A case of COVID-19 reinfection in the UK	52
Hyperbaric oxygen therapy for the treatment of long COVID: early evaluation of a highly promising intervention	50
National Early Warning Score 2 (NEWS2) to identify inpatient COVID-19 deterioration: a retrospective analysis	47
COVID-19: Causes of anxiety and wellbeing support needs of healthcare professionals in the UK: A cross-sectional survey	39
Preventing vitamin D deficiency during the COVID-19 pandemic: UK definitions of vitamin D sufficiency and recommended supplement dose are set too low	37
Diabetic retinopathy for the non-ophthalmologist	37
The challenges of chronic pain and fatigue	36
Inhaled and systemic heparin as a repurposed direct antiviral drug for prevention and treatment of COVID-19	36
Causes of obesity: a review	36
Raynaud's phenomenon	35

Lessons of the month 1: Longitudinal extensive transverse myelitis following AstraZeneca COVID-19 vaccination	35
Implementation and evaluation of a COVID-19 rapid follow-up service for patients discharged from the emergency department	35
Managing obesity in people with type 2 diabetes	35
Endocrine complications of immunotherapies: a review	33
Use of procalcitonin for antibiotic stewardship in patients with COVID-19: A quality improvement project in a district general hospital	32
COVID-19 in pregnancy	29
Beyond bones: The relevance of variants of connective tissue (hypermobility) to fibromyalgia, ME/CFS and controversies surrounding diagnostic classification: an observational study	29
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	28
Post-COVID symptoms reported at asynchronous virtual review and stratified follow-up after COVID-19 pneumonia	28
Medically unexplained symptoms: assessment and management	28
Pneumocystis pneumonia, a COVID-19 mimic, reminds us of the importance of HIV testing in COVID-19	27
Orthostatic hypotension in older people: considerations, diagnosis and management	27
The clinical sensitivity of a single SARS-CoV-2 upper respiratory tract RT-PCR test for diagnosing COVID-19 using convalescent antibody as a comparator	23
The effects of COVID-19 on sickness of medical staff across departments: A single centre experience	21
Update on the diagnosis and management of early rheumatoid arthritis	20
Rising to the challenge: Qualitative assessment of medical student perceptions responding to the COVID-19 pandemic	20
Rationale for the use of sphingosine analogues in COVID-19 patients	20
Melioidosis: clinical aspects	19
Exploring communication difficulties with deaf patients	19
COVID-19 infection causing residual gastrointestinal symptoms – a single UK centre case series	19
The incidence and duration of COVID-19 vaccine-related reactive lymphadenopathy on 18F-FDG PET-CT	19
Inflammatory eye disease: An overview of clinical presentation and management	17
Point-of-care ultrasound rapidly and reliably diagnoses renal tract obstruction in patients admitted with acute kidney injury	15
Management of traumatic brain injury (TBI): a clinical neuroscience-led pathway for the NHS	15
New guidance on the perioperative management of diabetes	15
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	14
Emergency treatment of anaphylaxis: concise clinical guidance	14
Physiological changes from ageing regarding pain perception and its impact on pain management for older adults	14
Treatment of spontaneous intracranial hypotension: experiences in a UK regional neurosciences Centre	13
Managing chronic pain in older people	12
Peritoneal dialysis patients – the forgotten group in the coronavirus pandemic	12
Loperamide: an emerging drug of abuse and cause of prolonged QTc	12
Exposure of hospital healthcare workers to the novel coronavirus (SARS-CoV-2)	11
Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19)	11
How do we identify acute medical admissions that are suitable for same day emergency care?	11
Rheumatoid arthritis and bone health	11
Real-world use of the Breathing Pattern Assessment Tool in assessment of breathlessness post-COVID-19	11
Health and work: what physicians need to know	11
Hub-and-spoke model for thrombectomy service in UK NHS practice	11
Severe hypertension in pregnancy	11
Assessment and management of dysphagia and achalasia	11
Identifying and managing functional cardiac symptoms	10
Interplay between endocrinology, metabolism and COVID-19 infection	10
Liver diseases in pregnancy	10
Mental-health-related admissions to the acute medical unit during COVID-19	10
The management of acute meningitis: an update	10
Implementation of virtual reality technology to decrease patients' pain and nervousness during colonoscopies: a prospective randomised controlled single-blinded trial	10
The public’s attitude towards doctors’ use of Twitter and perceived professionalism: an exploratory study	10
Tachycardia in pregnancy: when to worry?	10
Diagnosis and management of non-cystic fibrosis bronchiectasis	10

Increased frequency of pneumothorax and pneumomediastinum in COVID-19 patients admitted in the ICU: A multicentre study from Mumbai, India	9
To scan or not to scan – D-dimers and computed tomography pulmonary angiography in the era of COVID-19	9
Public knowledge and information sources for clinical trials among adults in the USA: evidence from a Health Information National Trends Survey in 2020	9
Hydrogen treatment: a novel option in liver diseases	9
Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist	9
NICE atrial fibrillation guideline snubs wearable technology: a missed opportunity?	9
The aetiopathogenesis of vaccine-induced immune thrombotic thrombocytopenia	9
Quality of smoking cessation advice in guidelines of tobacco-related diseases: An updated systematic review	9
The new UK SARS-CoV-2 variant and lockdown – causes and consequences	9
Pre-stroke disability and stroke severity as predictors of discharge destination from an acute stroke ward	9
Lesson of the month: Severe granulomatosis with polyangiitis (GPA): a diagnostic challenge during the COVID-19 pandemic	9
Cancer immunotherapy and the management of side effects	8
Lessons of the month: Co-infection with SARS-CoV-2 and influenza B virus in a patient with community-acquired pneumonia	8
Radiation-induced coronary artery disease: a difficult clinical conundrum	8
Adult Paget's disease of bone	8
Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?	8
A comparison of emergency department presentations for medically unexplained symptoms in frequent attenders during COVID-19	8
Sepsis and the brain: a review for acute and general physicians	8
Mainstreaming of genomics in oncology: a nationwide survey of the genomics training needs of UK oncologists	8
Thrombophilia testing in the era of direct oral anticoagulants	8
Posterior circulation ischaemic stroke diagnosis and management	8
Lockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnesses	8
Lesson of the month: Oxycodone-induced leukoencephalopathy: a rare diagnosis	8
Establishing a perioperative medicine for older people undergoing surgery service for general surgical patients at a district general hospital	8
Outcomes from a virtual ward delivering oxygen at home for patients recovering from COVID-19: a real world observational study	7
Rickettsial illnesses, a leading cause of acute febrile illness	7
Improving the quality of care for people with giant cell arteritis	7
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	7
Analysis of conflicts of interest among authors and researchers of European clinical guidelines in cardiovascular medicine	7
Delayed rhabdomyolysis secondary to anabolic-androgenic steroid use	7
Attitudes toward deprescribing for hospital inpatients	7
Lung cancer for the non-respiratory physician	7
Atrial fibrillation: a contemporary update	7
An update on hyper-acute management of ischaemic stroke	7
Future therapies for obesity	7
The foot in diabetes – a reminder of an ever-present risk	7
Advances in atopic dermatitis	7
COVID-19 emergency department discharges: an outcome study	7
The role of physical activity in obesity: let's actively manage obesity	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
Arterial and venous thrombotic stroke after ChAdOx1 nCoV-19 vaccine	6
Distribution of contemporary sensitivity troponin in the emergency department and relationship to 30-day mortality: The CHARIOT-ED substudy	6
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	6
Understanding the diagnosis and management of multisystem inflammatory syndrome in adults (MIS-A) in the UK: results of a national Delphi process	6
The Volunteers in Research programme: supporting COVID-19 research and improving medical training in parallel	6
ChatGPT in medical practice, education and research: malpractice and plagiarism	6
Supporting people who have eating and drinking difficulties	6
Contact tracing for SARS-CoV-2: what can be learned from other conditions?	6
Restarting training and examinations in the era of COVID-19: a perspective from the Federation of Royal Colleges of Physicians UK	6
The diagnosis and treatment of catatonia	6
A specialised cardiorespiratory team approach in the intensive care management of COVID-19 patients: benefit on mortality, diagnosis and management	6
Diagnosis and management of neuroendocrine tumours	6
Frequent identical admission–readmission episodes are associated with increased mortality	6
Coronavirus in the elderly: a late lockdown UK cohort	6
Hyperosmolar hyperglycaemic state as a stroke cause or stroke mimic: an illustrative case and review of literature	6
Approaches to building rapport with patients	6
Preceptorship scheme for newly qualified physician associates working in general practice in Sheffield	6
SARS-CoV-2 antibody seroprevalence in NHS healthcare workers in a large double-sited UK hospital	6
‘Food for thought’: The importance of nutrition to patient care and the role of the junior doctor	6
The ethics and politics of addressing health inequalities	6
Home quarantine in COVID-19: A study on 50 consecutive patients in Austria	6
Thrombocytopenia: the good, the bad and the ugly	6
How should we define a ‘good’ outcome from encephalitis? A systematic review of the range of outcome measures used in the long-term follow-up of patients with encephalitis	6
Resistant type 2 amiodarone-induced thyrotoxicosis responsive to cholestyramine as an adjunctive therapy	5
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	5
A practical approach to the patient with chronic diarrhoea	5
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	5
The surgical management of obesity	5
Thyroid disease in pregnancy	5
Non-tuberculous mycobacterial pulmonary disease (NTM-PD): Epidemiology, diagnosis and multidisciplinary management	5
The safety of anaesthetists and intensivists during the first COVID-19 surge supports extension of use of airborne protection PPE to ward staff	5
Early applications of ChatGPT in medical practice, education and research	5
A content analysis of contributory factors reported in serious incident investigation reports in hospital care	5
Images of the month: An incidental finding of spontaneous pneumomediastinum (Hamman's syndrome) secondary to diabetic ketoacidosis during the coronavirus pandemic	5
Clinical approach to vision loss: a review for general physicians	5
Potential to reduce antibiotic use in secondary care: Single-centre process audit of prescription duration using NICE guidance for common infections	5
Real-world experience of SARS-CoV-2 antibody assays in UK healthcare workers	5
The management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: key points from the ESC 2020 Clinical Practice Guidelines for the general and emergency physi	5
Pulmonary CT imaging findings in fat embolism syndrome: case series and literature review	5
A human factors approach to quality improvement in oxygen prescribing	5

Nails in systemic disease	5
Uncommon forms of diabetes	5
Incorporating SPACES recommendations to the COVID-19 ward care approach at the Royal Bournemouth Hospital	5
Immune checkpoint inhibitor-mediated hypophysitis: no place like home	5
COVID-19: The impacts on foundation training in district general hospitals in the East of England and the East Midlands	5
Patent foramen ovale: diagnostic evaluation and the role of device closure	5
Functional gastrointestinal disorders: History taking skills in practice	5
‘What is the risk to me from COVID-19?’: Public involvement in providing mortality risk information for people with ‘high-risk’ conditions for COVID-19 (OurRisk.CoV)	5
Artery of Percheron infarct: hiding in plain sight	5
Inpatient hyperglycaemia, and impact on morbidity, mortality and re-hospitalisation rates	5
Acute pain management for older adults	5
Long-term outcomes of liver transplant recipients followed up in non-transplant centres: Care closer to home	5
Outliers from national audits: their analysis and use by the Care Quality Commission in quality assurance and regulation of healthcare services in England	5
Skin of colour: essentials for the non-dermatologist	5
Prevalence and socio-demographic factors of SARS-CoV-2 antibody in multi-ethnic healthcare workers	5
Lesson of the month: Acute pancreatitis due to hypertriglyceridaemia in a transgender woman: a complication of high-dose oral oestrogen therapy?	4
Emerging tropical neurological infections	4
The protective effect of previous COVID-19 infection in a high-prevalence hospital setting	4
Clinical accuracy of infrared temperature measurement devices: a comparison against non-invasive core-body temperature	4
Tuberculous arthritis of the ankle joint masquerading as rheumatoid arthritis in a patient with lupus nephritis	4
Acute neurological consequences of novel psychoactive substance use: a retrospective review in a large UK hospital	4
Fluid-repellent surgical mask (FRSM) fit – one size does not fit all	4
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	4
Sleep measures and cardiovascular disease in type 2 diabetes mellitus	4
A case of antisynthetase syndrome presenting solely with life-threatening interstitial lung disease	4
An update on the general management approach to common vasculitides	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
Investigation and assessment of adrenal incidentalomas	4
SARS-CoV-2 vaccines and myocarditis	4
Introduction to the dietary management of obesity in adults	4
Utility of severity assessment tools in COVID-19 pneumonia: a multicentre observational study	4
People living in homeless hostels: a survey of health and care needs	4
Diagnosis and management of ventricular tachycardia	4
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	4
The unspoken benefit of participation in a clinical trial	4
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	4
Differences in presentation, severity and management of DKA in type 1 and type 2 diabetes during the COVID-19 pandemic	4
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	4
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	4
Chest CT features and functional correlates of COVID-19 at 3 months and 12 months follow-up	4
The prognostic value of chest X-ray in patients with COVID-19 on admission and when starting CPAP	4
Updates in heart failure	4
Immunobullous disease	4
Management of traumatic brain injury: practical development of a recent proposal	4
Subarachnoid haemorrhage rules in the decision for acute CT of the head: external validation in a UK cohort	4
Modern day management of a unilateral pleural effusion	4
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	4
Providing an acute oncology service during the COVID-19 pandemic	4
Consent for blood transfusion: summary of recommendations from the Advisory Committee for the Safety of Blood, Tissues and Organs (SaBTO)	4
The UK physician workforce: one-third at increased risk of death from COVID-19	4
How to approach acute thrombosis and thrombocytopenia	4
Rehabilitation after COVID-19: supporting those in employment back to work	4
Amlodipine induced hyponatraemia	3
Physician trainee research collaboratives: a mixed methods exploration of UK experience	3
Crohn's disease: an update	3
Next-generation sequencing and molecular therapy	3
Inpatient COVID-19 vaccination rollout: Improving access to vaccination	3
Higher incidence of new atrial fibrillation in hospitalised COVID-19 patients compared to lower respiratory tract infection, however, less patients prescribed anticoagulants at discharge	3
Pulmonary hypertension – the latest updates for physicians	3
Influence of seasonal and operator variations on diagnostic accuracy of lateral flow devices during the COVID-19 pandemic: a systematic review and meta-analysis	3
Antiviral treatment for COVID-19: the evidence supporting remdesivir	3
Assessment and management of chronic kidney disease in people living with obesity	3
Images of the month 1: ‘Soy sauce’ pleural effusion: what causes black pleural fluid?	3
Secondary haemophagocytic lymphohistiocytosis in hospitalised COVID-19 patients as indicated by a modified HScore is infrequent and high scores do not associate with increased mortality	3
Metabolic emergencies in pregnancy	3
Gastrointestinal symptoms involvement in hospitalised COVID-19 patients in Liverpool, UK: a descriptive cross-sectional, single-centre study	3
Antiplatelet treatment for acute secondary prevention of non-cardioembolic minor stroke / transient ischaemic attack: an update for the acute physician	3
The oligometastatic paradigm and the role of radiotherapy	3
Isolated headache is not a reliable indicator for brain cancer	3
Review of hygiene adaptations among UK doctors in controlling the spread of SARS-CoV-2 infection	3
Extrapulmonary nontuberculous mycobacterial infections: a guide for the general physician	3
Images of the month 1: Trident sign and neurosarcoidosis	3
Lessons of the month 2: A case of inappropriate drug–drug interaction in kidney transplant	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
Requests from primary care for chest X-ray and CA125 measurements during the COVID-19 emergency: An observational study	3
Effective bedside teaching as a foundation doctor	3
Nosocomial COVID-19 on a green ward	3
Mental health stigma in the medical profession: Where do we go from here?	3
Research in brief: Effective pharmacotherapy for the management of obesity	3
Making research everybody's business: a position statement of the Royal College of Physicians and the National Institute of Health and Care Research	3
The weight of obesity in hypertrophic cardiomyopathy	3
Accidental colourful mushroom poisoning – delirium, delusions and dreams	3
Prevalence and clinical implication of thrombocytopenia and heparin-induced thrombocytopenia in patients who are critically ill with COVID-19	3
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	3
Diagnosis and management of adrenal insufficiency	3
Challenges for the maintaining the microbiological safety of the UK blood supply	3
Cough headache as a presenting feature of posterior reversible encephalopathy syndrome (PRES)	3
Monoclonal gammopathies of renal significance	3
An update on the clinical approach to giant cell arteritis	3
Assessment of obesity	3
Images of the month: Cavernous sinus venous thrombosis secondary to Streptococcus milleri maxillary sinusitis: An unusual cause of diplopia and headache	3
Remodelling of specialist services enables safe reduction in hospital admissions of patients with sickle cell disease: Lessons from the COVID-19 pandemic	3
The investigation and management of pancreatic exocrine insufficiency: A retrospective cohort study	3
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	3
Evaluation of a specialist cognitive clinic for the Deaf community	3