Clinical Medicine

Article	Citations
Health and work: what physicians need to know	162
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	155
Chest CT features and functional correlates of COVID-19 at 3 months and 12 months follow-up	90
How to approach acute thrombosis and thrombocytopenia	80
Practical approach to anti seizure medications, an update	76
Provision of acute oncology services in the UK: data from the Society for Acute Medicine Benchmarking Audit 2022 (SAMBA22)	65
Health-related quality of life following TAVI or cardiac surgery in patients at intermediate and low risk: a systematic review and meta-analysis	65
The domino effect: A retrospective audit of inpatient falls at a district general hospital	63
Case report; A rare evolving disorder of multiple lesions with an elusive diagnosis	57
Melanosis coli and colorectal cancer: Coincidence or correlated?	50
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	49
Compliance to the ULHT trust protocol in the investigation and management of hypokalaemia	47
Heart failure caused by chronic obstructive pulmonary disease in the United Kingdom: A burden and trend analysis, 1990–2019	45
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	35
Trends and burden of colon and rectum cancer attributable to high BMI in the United States from 1990 to 2019	35
Cardiac rehabilitation: The forgotten intervention in patients with congenital heart disease	34
Let's voice it- bridging the cervical screening health inequality among sexual minority women	33
It all started with a sore throat: Polymicrobial septicaemia, cavitating lung lesions and severe thrombocytopenia	33
Case series of choledocholithiasis more than 25 years after cholecystectomy	29
Delivering an enhanced pleural procedural skill teaching programme for UK physicians in a tertiary UK hospital	28
Emergency hospital admissions associated with non-communicable diseases 1998–2018 in England, Wales and Scotland: an ecological study	24
Images of the month 1: ‘Soy sauce’ pleural effusion: what causes black pleural fluid?	22
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	21
Approach to pancytopenia: From blood tests to the bedside	21
Mental health stigma in the medical profession: Where do we go from here?	19

A guide to functional disease for a trauma conscious generation	19
Improving quality in adult long covid services: Findings from the LOCOMOTION quality improvement collaborative	19
An update on hyper-acute management of ischaemic stroke	17
A 'catastrophic’ fall!	16
A teenager with ophthalmoparesis and dysphagia	15
Acute quadriplegia and epileptic seizures in a 47-year-old man	14
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	14
A rare presentation of Castleman disease	14
Hypothermic episodes during hospital admission and the correlation with clinical condition and mortality in different age groups	14
NEWS2 shows low sensitivity and high specificity for delirium detection: a single site observational study of 13,908 patients	13
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	13
Titration of antihypertensive therapy to mitigate the risk of falls	12
NEWS2, patient safety and hypercapnic respiratory failure	12
Reliability of BNP to exclude heart failure	11
Lesson of the month: Cerebral amyloid angiopathy masquerading as recurrent transient ischaemia attacks in an older adult	11
Hormone therapy in the management of stage four (asymptomatic metastatic) breast cancer in women	11
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	11
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	11
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	11
Pulmonary endemic mycoses	10
Non-tuberculous mycobacterial pulmonary disease (NTM-PD): Epidemiology, diagnosis and multidisciplinary management	10
Cardio pulmonary resuscitation (CPR) in the frail and those with multiple health conditions: Outcomes before and during the COVID pandemic	10
Update in the diagnosis and management of acute pulmonary embolism for the non-respiratory physician	10
Cocaine levamisole associated auto-immune spectrum: A case series	10
Doing simple things well can achieve significant benefits	10
Assessing health inequalities in local pulmonary tuberculosis (pTB) care in southeast London through data analysis and patient and public involvement and engagement (PPIE)	9
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	9
Acute pain management for older adults	9
Improving diabetes screening in acute coronary syndrome patients: A quality improvement initiative	9
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	9
Absence of monitoring in withdrawal of clinically-assisted nutrition and hydration (CANH) and other treatments: a cause for concern?	9
Multiple transfusion request audit	9
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	9
A quality improvement project to minimise door to needle time in acute ischaemic stroke patients at a quaternary hospital, Kochi, India	9
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	9
SARS-CoV-2 antibody seroprevalence in NHS healthcare workers in a large double-sited UK hospital	8
COVID-19 in pregnancy	8
The effects of COVID-19 on sickness of medical staff across departments: A single centre experience	8
CME: Clinical oncology (143247): self-assessment questionnaire	8
Images of the month 2: Pulmonary artery pseudoaneurysm formation within uterine leiomyosarcoma metastases	8
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	8
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	8
Future therapies for obesity	8
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	8
Thyroid disease in pregnancy	8
Formalised curiosity	8
Image of the month: An unusual cause of cough, stridor and dyspnoea: A giant aortic arch aneurysm	7
Streamlining the investigative process – early investigation for thromboembolic and cardiovascular disease in COVID-19 patients	7
Hyperbaric oxygen therapy for the treatment of long COVID	7
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	7

Incidence of traumatic lumbar punctures in adults: the impact of a patient's first procedure	7
Cutaneous manifestations of infections: an update for general physicians	7
Acute neurological consequences of novel psychoactive substance use: a retrospective review in a large UK hospital	7
Progressive neurological symptoms following a fall	7
Ulcerative colitis: an update	7
A specialised cardiorespiratory team approach in the intensive care management of COVID-19 patients: benefit on mortality, diagnosis and management	7
When common things aren't so common: A case report of hepatopulmonary syndrome	7
Subarachnoid haemorrhage rules in the decision for acute CT of the head: external validation in a UK cohort	7
JAK-inhibition as a therapeutic strategy for refractory primary systemic vasculitides	7
Metabolic emergencies in pregnancy	7
A comparison of emergency department presentations for medically unexplained symptoms in frequent attenders during COVID-19	7
Analysis of conflicts of interest among authors and researchers of European clinical guidelines in cardiovascular medicine	7
The individualisation of glycaemic targets in response to patient characteristics in type 2 diabetes: a scoping review	6
Symptom management of COVID-19 positive patients in an acute NHS trust: a specialist palliative care team perspective	6
Management of hyperglycaemia in people with obesity	6
Image of the month: ‘Hourglass left ventricle’ in mid-ventricular hypertrophic cardiomyopathy	6
The unspoken benefit of participation in a clinical trial	6
Response	6
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	6
Do respiratory physicians not care about people who smoke?	6
Foundation doctors’ perspectives on the impact of the COVID-19 pandemic and lessons for the future	6
Lessons of the month 1: Cardiac tamponade: don't forget the pancreas	6
Mesenteric ischaemia following posterior myocardial infarction	6
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	6
Do not attempt cardiopulmonary resuscitation (DNACPR) and treatment escalation plan (TEP) decisions: Developing a trust-wide audit	6
CME: Haematology (140053): self-assessment questionnaire	6
Iron deficiency without anaemia	6
Mortality associated with acute kidney injury in COVID-19 admissions to a high dependency/intensive care setting	6
Evaluation of a specialist cognitive clinic for the Deaf community	6
The assessment and management of obstructive sleep apnoea–hypopnoea syndrome and obesity hypoventilation syndrome in obesity	6
The significance of the gut microbiome in post-COVID-19 gastrointestinal symptoms	6
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	6
The association of pleural effusion and pulmonary embolism	5
Failing the frail: The need to broaden the COVID-19 case definition for geriatric patients	5
Endocrine complications of immunotherapies: a review	5
Giant cell arteritis with normal inflammatory markers	5
Tumour-induced osteomalacia	5
‘Food for thought’: The importance of nutrition to patient care and the role of the junior doctor	5
Lessons of the month 2: Olanzapine-induced hypothermia and hand oedema	5
Nitrous oxide misuse: a clue not to be missed in young patients with venous thromboembolism	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
Improving the systematic screening and documentation of mental capacity for patients with severe brain injury: The Mental Capacity Screening assessment tool (MCScreen)	5
Pfizer COVID-19 vaccine-induced peritonitis	5
Accidental colourful mushroom poisoning – delirium, delusions and dreams	5
Making research everybody's business: a position statement of the Royal College of Physicians and the National Institute of Health and Care Research	5
Lockdown Britain: Evidence for reduced incidence and severity of some non-COVID acute medical illnesses	5
Antiplatelet treatment for acute secondary prevention of non-cardioembolic minor stroke / transient ischaemic attack: an update for the acute physician	5
Understanding the diagnosis and management of multisystem inflammatory syndrome in adults (MIS-A) in the UK: results of a national Delphi process	5
Sepsis and the brain: a review for acute and general physicians	5
Marantic endocarditis and stroke: Case presentation	5
Diplopia: Diagnosis and management	5
Improving anaesthetic chart documentation	5
Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	5
Where now for infection services in the NHS? What about children?	5
Frailty on the acute medical take	5
Effects of COVID-19 on primary percutaneous coronary intervention admissions: is there hidden morbidity?	4
Diagnosis and management of non-cystic fibrosis bronchiectasis	4
The feasibility of a novel national quality improvement programme for tobacco dependency treatment pathways in acute UK hospitals	4
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	4
Extending the reach of expert amyloidosis care: A feasibility study exploring the staged implementation of a UK amyloidosis network	4
Hydrogen treatment: a novel option in liver diseases	4
Malaria: Past, present and future	4
Effective bedside teaching as a foundation doctor	4
WITHDRAWN: Implementation of SAMPL Guidelines in 100 clinical medicine articles: enhancing statistical reporting and recommendations for biomedical journals	4
Research activity among physicians in the United Kingdom: results from the Royal College of Physicians Census 2022	4
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	4
Pericardial effusion and lung cancer: a retrospective analysis	4
Risk factors for falls among elderly patients admitted to Colombo North Teaching Hospital, Sri Lanka: a cross-sectional analysis	4
Orthostatic hypotension in older people: considerations, diagnosis and management	4
Pembrolizumab-induced diffuse myositis in a patient of metastatic colon cancer: a case report	4
Lessons of the month 1: Shoshin beriberi: A case report of fulminant cardiovascular collapse, intractable hyperlactatemia and deteriorating consciousness	4
The UK research ethics committee: Making the case for better serving the underserved – can we do better?	4
Bilateral Adrenal Infarction and Secondary Haemorrhage in Pregnancy: Implications of Factor V Leiden Heterozygosity: A Review of the Literature and a Case Report.	4
Effects of sulphur thermal water inhalations in long-COVID syndrome: Spa-centred, double-blinded, randomised case–control pilot study	4
How do we identify acute medical admissions that are suitable for same day emergency care?	4
Assessment and management of dysphagia and achalasia	4
Subacute dyspepsia: a curious presentation of an ominous pathology	4
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	4
Investigation and assessment of adrenal incidentalomas	4

Diagnosis and management of ventricular tachycardia	4
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	4
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	4
Images of the month 1: Trident sign and neurosarcoidosis	4
Differential effects of oral versus intravenous hydrocortisone and dexamethasone on capillary blood glucose levels in adult inpatients − a single centre study	4
A human factors approach to quality improvement in oxygen prescribing	4
Prescribing for change – safer antimicrobial use in hospitals	4
The diagnosis and treatment of catatonia	4
Severe hypertension in pregnancy	4
Ambulatory management of diabetic foot complications	4
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	3
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	3
Providing an acute oncology service during the COVID-19 pandemic	3
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
A late diagnosis of infective endocarditis (IE) in the Covid 19 Infection: A near fatal experience	3
Pulmonary CT imaging findings in fat embolism syndrome: case series and literature review	3
Acute renal embolism in atrial fibrillation associated with rheumatic mitral stenosis	3
New guidance on the perioperative management of diabetes	3
Dilated gut conditions: diagnosis and management	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
Patients with cancer and sepsis trials: an unfair representation?	3
Predicting outcomes in patients with acute kidney injury: Our experience in a district general hospital	3
The new national clinical guideline for stroke: an opportunity to transform stroke care	3
The Macklin effect in COVID-19	3
Multidisciplinary medical management of severe thyrotoxicosis with multiorgan dysfunction in pregnancy: A case report	3
Monoclonal gammopathies of renal significance	3
The UK physician workforce: one-third at increased risk of death from COVID-19	3
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	3
Austrian syndrome: Report of one case and a systematic review of case reports – new insights	3
Bullous Sweet's syndrome in rheumatoid arthritis after streptococcal pharyngitis	3
Challenges for the maintaining the microbiological safety of the UK blood supply	3
Diagnostic accuracy of serum procalcitonin levels in early detection of bacterial infections	3
Pancreatic cancer with multiple liver metastasis complicating multi-organ infarcts from marantic endocarditis and Trousseau's syndrome	3
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	3
Scleroderma/juvenile dermatomyositis overlap syndrome in a teenager: A gripping diagnosis	3
Keeping abreast of change – learning from specialist practice	3
Nitrous oxide induced spinal cord oedema with normal serum B12 level with high plasma homocysteine level	3
Towards integrated perioperative medicine: a survey of general practitioners’ attitudes, beliefs and behaviours regarding perioperative medicine for older people	3
Improving secondary prevention in patients with acute coronary syndrome through electronic prescribing plans, a quality improvement project	3
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	3
The surgical management of obesity	3
Inpatient hyperglycaemia, and impact on morbidity, mortality and re-hospitalisation rates	3
Severe measles with pneumonitis in an immunocompetent adult	3
An unexpected case of cryoglobulinaemia vasculitis that presented as respiratory failure	3
Statin-induced, immune-mediated necrotising myopathy triggered by malignancy successfully treated with immunosuppression	3
A case of embolic stroke and failed treatment with anticoagulation with papillary fibroelastoma	3
Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?	3
Development of a Northern Ireland PACES training course	3
Forgotten biliary stents: A retrospective review of practice in a district general hospital	3
CME: Gastroenterology (147143): self-assessment questionnaire	3
Characteristics of presentation and management of people with hypoglycaemia while on continuous glucose monitoring devices - Pilot data from DEKODE hypoglycaemia study	3
Improving ECG interpretation skills of junior doctors: Embracing the rhythm of the heart	3
COP27 Climate Change Conference: urgent action needed for Africa and the world	3
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	3
Call for emergency action to limit global temperature increases, restore biodiversity and protect health	2
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	2
Pregnancy-induced atypical haemolytic uraemic syndrome	2
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	2
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	2
Image of the month: Diagnostic and therapeutic challenges in the management of ectopic ACTH syndrome: a perfect storm of hypercortisolism, hyperglycaemia and COVID-19	2
The role of physical activity in obesity: let's actively manage obesity	2
What is the impact of COVID-19 on complaints against doctors?	2
Inflammatory eye disease: An overview of clinical presentation and management	2
Framing the shot: a surprise finding of multiple foreign bodies on coronary angiography	2
NEWS2 and improving outcomes from sepsis	2
Sexism in a UK-wide medical examination	2
Insulin therapy for the non-specialist physician	2
Functional disorders and chronic pain	2
Differences in presentation, severity and management of DKA in type 1 and type 2 diabetes during the COVID-19 pandemic	2
Cough headache as a presenting feature of posterior reversible encephalopathy syndrome (PRES)	2
A rare involvement in skin cancer: Merkel cell carcinoma with bone marrow infiltration in a kidney transplant recipient	2
Benefits of a falls service during the pandemic	2
Evaluating the appropriateness of antibiotic treatment of tonsillitis during COVID-19 in the north Wales primary healthcare setting: a preliminary report	2
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	2
Posterior circulation ischaemic stroke diagnosis and management	2
Tachycardia in pregnancy: when to worry?	2
Implementing a novel protocol for withdrawal of CPAP support in COVID-19 patients: a case series	2
Association between lipid profile and disease activity in rheumatoid arthritis	2
Liver diseases in pregnancy	2
Pulmonary hypertension – the latest updates for physicians	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
Temporal immunological marker risk model for predicting severity of COVID-19 outcomes: early risers, late bloomers and general giants	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
An update on the clinical approach to giant cell arteritis	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
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	2
Treatment of hypercalcaemia of malignancy in adults	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
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
A case of HSV2 vasculitis causing multi-territory ischaemic stroke in an immunocompetent man	2
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	2
Economic evaluation of HLA-B*15:02 genotyping in Asian Australian epilepsy patients	2
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	2
Lessons learnt from the use of CPAP for patients with type 1 respiratory failure due to COVID-19 pneumonia in a district general hospital outside a critical care setting	2