Clinical Medicine

Article	Citations
Multiple transfusion request audit	152
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	138
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	136
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	109
Audit on parental awareness of minimising added sugar intake during complementary feeding	100
Endoscopic surveillance in patients with oesophageal varices in alcoholic liver cirrhosis	96
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	51
Doing simple things well can achieve significant benefits	50
Case series of choledocholithiasis more than 25 years after cholecystectomy	42
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	39
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	35
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	34
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	33
Ambulatory management of diabetic foot complications	31
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	30
Effective bedside teaching as a foundation doctor	29
How to approach acute thrombosis and thrombocytopenia	28
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	26
Life threatening, subclavian artery mycotic aneurysm rupture into a gigantic supraclavicular abscess in an intravenous drug user	23
Piloting a novel cancer care pathway: socioeconomic background as a barrier to access	23
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	23
Management of hyperglycaemia in people with obesity	23
The medical licensing assessment (MLA) content map: A list is not a syllabus, and a syllabus is not a curriculum	22
The diagnosis and treatment of catatonia	21
Risk factors and an interpretability tool of in-hospital mortality in critically ill patients with acute myocardial infarction	20

Diagnosis and management of ventricular tachycardia	19
Association between lipid profile and disease activity in rheumatoid arthritis	19
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	19
Enhanced neurotrauma services: physician input into traumatic brain injury care	17
Hospital at home – developing a simulation induction programme for junior doctors	17
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	17
Unwelcome guests: infectious disease beyond the pandemic	16
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	16
Exceptional outcome: CD-30-positive relapsed enteropathy-associated T-cell lymphoma (EATL) treated with brentuximab vedotin alone, showing significant improvement in weight and albumin levels in Type	15
Spectrum of anaemia in rheumatic diseases and the involvement of rheumatologists in the management: a single centre study	15
The trend in deaths from alcoholic liver disease (ALD) over the past decade	15
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	15
Temporal trends in the burden of multiple sclerosis in the UK over the past three decades	15
An update on the clinical approach to giant cell arteritis	15
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	14
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	14
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	14
Causes of obesity: a review	14
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	14
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	14
Purple urine bag syndrome	14
Health means more than just healthcare	13
Decoding cardiac masquerade: Arrhythmogenic cardiomyopathy camouflaging as acute myocardial infarction	13
Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica	13
A rare presentation of geriatric non-epileptic seizures due to carotid artery encasement of a diffuse large B-cell lymphoma: A case report	13
From hypertension to heart failure: The missed clues of transthyretin cardiac amyloidosis	12
Improving antimicrobial prescribing in adults hospitalised with community-acquired pneumonia in a district general hospital of West Yorkshire	12
Population-specific DPYD variants and fluoropyrimidine toxicity risk: an analysis using public genomic databases	12
Table of Contents	12
Safe to transfuse? An audit on quality and practices in blood transfusion sampling and labelling in the accident and emergency (A&E) department.	12
Temporal trends in the burden of chronic obstructive pulmonary disease in the UK over the past three decades	12
Dynamics of minimal residual disease and its clinical implications in multiple myeloma: A retrospective real-life analysis	11
Table of Contents	11
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	11
Same-day emergency care	11
The use of tociluzimab in COVID-19 inpatients: experience from a district general hospital	11
Effectiveness of pre- and post-operative 4AT assessment in monitoring delirium in hip fracture patients	11
The rapid progression of Creutzfeldt–Jakob disease with concomitant COVID-19 infection: a case report	11
Chronic lymphocytic leukaemia in the elderly	10
The BSG/BASL bundle for patients admitted with decompensated chronic liver disease improves standard of care but utilisation is poor across the UK	10
Rapid echocardiography in the primary angioplasty era for timely detection and management of acute Stanford type A aortic dissection: a case illustration	10
Optimising admission to scope time for acute GI bleeding (UGIB): retrospective comparative analysis of the timing of endoscopy for UGIB in a Queensland quaternary centre following international recomm	10
Thrombocytopenia: the good, the bad and the ugly	9
The diagnosis of fibromyalgia syndrome	9
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	9
Engagement in research during specialist geriatric medicine training: results of a national trainee survey	9
A rare complication of DRESS syndrome in the treatment of cardiac device-related lead thrombus and infective endocarditis	9
Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation	9
Use of IV immunoglobulin to treat steroid resistant, immune checkpoint inhibitor induced pure red cell aplasia. A case report	9
Editorial: Learnings from all walks of medical practice	9

How to approach haemolysis: Haemolytic anaemia for the general physician	9
Isolated cardiac sarcoidosis: A clinical challenge	9
A rare case of TEN-like acute cutaneous lupus	9
Don't just fit and forget: incremental benefit of optimisation of medical therapy post-cardiac resynchronisation therapy	8
Optimisation of strategies for management of heart failure with preserved ejection fraction	8
DVT: is it really an SDEC pathway? A retrospective review of SDEC DVT demand and outcomes across Surrey Heartlands ICS	8
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	8
Cancer immunotherapy and the management of side effects	8
Can advance care planning (ACP) improve patients' journey with advanced dementia and their families? A 1-year follow-up study	8
A comparison of giant cell arteritis referrals and outcomes during the COVID-19 pandemic: experience from a district general hospital in the UK	8
Controversies in thyroid disease management in pregnancy	8
Acute Epstein–Barr virus hepatitis without infectious mononucleosis: a diagnostic challenge	8
Atypical presentation of young stroke with vertebral artery dissection	8
The management of severe eczema in pregnancy	7
Medicine’s beauty lies in lifelong learning, reflection and research	7
Applications of musculoskeletal ultrasound in inflammatory arthritis	7
NEWS2 and the older person	7
The appropriateness of penicillin allergy de-labelling by non-allergist clinical ward teams	7
Use of proton pump inhibitors (PPI) in patients with acute coronary syndrome (ACS) receiving dual-antiplatelet therapy (DAPT)	7
Secondary hemophagocytic lymphohistiocytosis: an unusual complication in disseminated Mycobacterium tuberculosis	7
Cancer immunotherapy and the management of side effects	7
Table of Contents	7
People living in homeless hostels: a survey of health and care needs	7
Inhaled beclomethasone in the treatment of early COVID-19: a phase 2, double-blind, placebo-controlled, randomised trial	7
Importance of point of care ultrasound in the diagnosis of severe mitral regurgitation	7
Severe acute pulmonary embolism in pregnancy	7
The use of metaverse in medical education: A systematic review	7
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	7
Management of pituitary incidentalomas	7
Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups? Prospective assessment of the current practice and yield of faecal elastase testing in patients with diabetes mellitus, HIV and/or	7
Idiopathic multicentric Castleman disease and its rare association with peripheral neuropathy and stroke	7
Diagnostic accuracy of CADe-assisted reading versus clinician reading for polyp detection in colon capsule endoscopy: a multicentre prospective study	7
A prospective multicentre study of the endoscopic ultrasound-guided radiofrequency (EUS-RFA) and ethanol ablation (EUS-EA) in pancreatic neuroendocrine tumours and adenocarcinoma of the pancreas	7
Infectious pulmonary tuberculosis patients who inadvertently had spirometry in a tertiary care pulmonary service in southern India	6
Years after the cure: a rare case of delayed onset of oesophageal stricture post-radiotherapy for lung cancer	6
Soups, shakes and other slimming strategies: GLP-1 agonists vs. NHS type 2 diabetes path to remission programme in the battle against T2DM and weight management	6
Time for preference-informed foundation allocation?	6
A case of acute anti-Mi-2-beta antibody-positive dermatomyositis	6
Learning from the past rather than living in it	6
A genetic paradigm shift: Deciphering stress-induced molecular mechanisms fuelling cancer genesis	6
Do you need a weatherman to know which way the wind blows?	6
Refractory thrombocytopenia as a manifestation of Mycobacterium abscessus complex prosthetic valve endocarditis: a rare and fatal complication	6
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited	6
Attitudes toward deprescribing for hospital inpatients	6
The National Early Warning Score: from concept to NHS implementation	5
Bickerstaff's brainstem encephalitis: A diagnostic challenge	5
Pregnancy-specific dermatoses for the resident physician	5
Lesson of the month: Cytotoxic lesions of the corpus callosum (CLOCCs) in status epilepticus	5
Core medical training to internal medicine training: progress or a step backwards?	5
COVID-19 infection as a parameter in the CHA2DS2 vascular risk assessment tool	5
The false positive troponin results: case studies of analytical interference	5
Thromboelastography for rapid diagnosis of heparin-like anticoagulant release during anaphylaxis-induced coagulopathy in systemic mastocytosis: a case report	5
Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review	5
Treat staff like they make a difference, and they will	5
Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project	5
VF arrest secondary to immune checkpoint inhibitor (ICI)-associated myocarditis; improving patient outcomes by maintaining a high clinical suspicion for ICI toxicity	5
Four key problems that will need to be addressed during the next pandemic	5
Defining and characterising a toolkit for the development of a successful European registry for rare liver diseases: a model for building a rare disease registry	5
Demographic characteristics of patients with giant cell arteritis in Sheffield, England	5
Clinical academics’ experiences of REF2021	5
Genomics in the kidney clinic	5
Unexplained breathlessness: Integrating pathophysiological insights with clinical evaluation	5
Breathe easy: encouraging climate-conscious inhalers	5
Cocaine-induced granulomatosis with polyangiitis: an under-recognised condition	5
CME: Geriatric medicine (141062): self-assessment questionnaire	5
A teenager with ophthalmoparesis and dysphagia	4
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	4
The effect of CGRP monoclonal antibodies on cardiovascular disease	4
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	4
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	4
How serious are ‘serious non-specific symptoms (SNSS)’? Evaluation of the introduction of a local SNSS pathway, and the pick-up rate of cancers, within this population	4
The changing landscape of HIV epidemiology and management	4
A National audit of the care of patients with acute kidney injury in England and Wales in 2019 and the association with patient outcomes	4
Trends in hypertension diagnosis and control in Lagos, Nigeria from May measurement month 2023	4
Prescribing for change – safer antimicrobial use in hospitals	4
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	4
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	4
Acute quadriplegia and epileptic seizures in a 47-year-old man	4
Pfizer COVID-19 vaccine-induced peritonitis	4
The value of CT head scans for patients from care homes presenting to the emergency department following a fall	4

Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	4
Early applications of ChatGPT in medical practice, education and research	4
Table of Contents	4
Putting your HAT on	4
Acute intermittent porphyria: is oseltamivir safe in these patients?	4
Diabetes and the Liver	4
Pulmonary endemic mycoses	4
Audit of immunoglobulin monitoring and hypogammaglobulinaemia after B cell targeted therapy in a paediatric cohort in a high immune disease prevalence Region	4
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
Let's voice it- bridging the cervical screening health inequality among sexual minority women	4
Outpatient parenteral antibiotic treatment for infective endocarditis: A retrospective observational evaluation	4
Harveian Oration 2020: Elucidation of molecular oxygen sensing mechanisms in human cells: implications for medicine	4
The unsung tale of the pied piper of haematology: insights from a case of renal transplant failure	4
E-cigarettes as a safe alternative to tobacco smoking? A deep dive into vape-associated pneumothorax (VASP)	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
Challenges in the diagnosis of systemic lupus erythematosus	4
Evaluating Hepatocellular carcinoma (HCC) Surveillance through an Early Diagnostic Centre: An Implementation Science Approach at a Tertiary Hepatology Centre in England.	4
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
‘Passenger announcement: Is there a doctor on board?’ Tackling impostor phenomenon in the transition from medical student to foundation doctor	3
Complex lupus management: when multiple organs demand precision	3
Infectious diseases at the front door: Focus on the fundamentals	3
Supporting patients with hypercapnia	3
The impact of insulin resistance on long-term outcomes in heart failure: a systematic review	3
Gout on the acute medical take	3
Strongyloides stercoralis infection in the UK: A systematic review and meta-analysis of published cases	3
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	3
Immunotherapy related acute kidney injury	3
Coeliac disease on the rise: the COVID-19 vaccination hypothesis	3
Suboptimal lipid reduction and follow-up in patients with transient ischaemic attack: a need for a systematic, guideline-based approach to optimising lipid-lowering therapy	3
CME: Gastroenterology (147143): self-assessment questionnaire	3
A retrospective audit of out-of-hours mechanical thrombectomy of anterior circulation large vessel occlusion in a UK tertiary centre	3
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	3
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	3
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	3
SNAPTIMED study: does the Scottish and Newcastle Anti-emetic Protocol achieve timely intervention and management from the emergency department to discharge for paracetamol poisoning?	3
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	3
Benefits of a falls service during the pandemic	3
Three-year assessment of cognitive and olfactory disturbances among COVID-19 convalescent patients grouped by olfactory hallucination status in Armenia: A qualitative and quantitative study	3
Adherence to guidelines in the diagnosis and management of autoimmune hepatitis	3
Hyperglycaemia and inpatient mortality and morbidity	3
Staphylococcus aureus bacteraemia for the general physician: A narrative review of a metastatic infection with malignant complications	3
Enhancing personalised care in COPD exacerbation: the role of cardiac/inflammatory biomarkers	3
Lesson of the month: Recurrent falls and hypoglycaemia in an older woman	3
Effectiveness of NEWS in identifying acute deterioration in older adults	3
Infection in people with heart failure: an overlooked cause of adverse outcomes	3
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	3
Sustainability in endoscopy: online endoscopy education platform significantly reduces carbon footprint of patient travel	3
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	3
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	3
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	3
Inflammatory eye disease: An overview of clinical presentation and management	3
Disseminated tuberculosis in a patient on anti-tumour necrosis factor (anti-TNF) therapy	3
Response to: Letter to the editor: Sleep measures and cardiovascular disease in type 2 diabetes mellitus	3
The development and introduction of a national e-learning programme to support the dissemination of NEWS2	3
Length of inpatient stay in patients with a suspected NSTEACS listed for invasive cardiac catheterisation	3
Developing chief investigators within the NHS: the West Midlands clinical trials scholars programme	3
Acute urinary retention and constipation caused by multi-dermatomal herpes zoster in an immunosuppressed patient	3
Health literacy associates with clinical, treatment and work status in people with inflammatory arthritis: results from a national cohort	3
Gin OR tonic: The dermatological hazards of cocktail-based quinine	3
What is the impact of COVID-19 on complaints against doctors?	3
Posterior circulation ischaemic stroke diagnosis and management	3
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	3
Improving endotherapy training for upper gastro-intestinal bleeding (UGIB) using a novel, low cost, home-made porcine model	3
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	3
Screening for delirium: a quality improvement audit in geriatric care	2
Diffusion of responsibility: a clinical audit	2
Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop	2
Pulmonary vein thrombosis: clot in the wrong vessel	2
Characteristics of presentation and management of people admitted with severe hypoglycaemia highlight the need for targeted educational interventions to mitigate occurrences - Pilot data from DEKODE H	2
Updates in heart failure	2
Develop ultrasound-guided cannulation skills in junior doctors to improve confidence and competence in intravascular access	2
Sarcoidosis: Key disease aspects and update on management	2
Skin of colour: essentials for the non-dermatologist	2
A case of ascending paralysis in pregnancy: Thiamine deficiency mimicking Guillain–Barré syndrome	2
Identifying gaps and optimising clinical practice and guideline of adrenal incidentaloma management	2
Improving oxygen prescribing on the Kardex in ward-level care	2
Achieving Improving Quality in Liver Services (IQILS) accreditation – lessons learned from one unit's experience	2
Letter to the Editor on Outpatient parenteral antibiotic treatment (OPAT) for infective endocarditis	2
Cerebral venous sinus thrombosis: A diagnostic dilemma in an uncommon presentation	2
Investigating the prescription patterns of HRT in women with type 2 diabetes and its effects	2
Clinical accuracy of infrared temperature measurement devices: a comparison against non-invasive core-body temperature	2
Patent foramen ovale: diagnostic evaluation and the role of device closure	2
Clinical approach to vision loss: a review for general physicians	2
Normal creatinine-kinase levels in post-COVID myositis: insights into localised muscle involvement	2
Lesson of the month: Large vessel vasculitis: A rare cause of transaminitis	2
Clinical utility of specialist respiratory outpatient review for all patients diagnosed with acute pulmonary embolism	2
Chronic exertional compartment syndrome – unpicking a tricky diagnosis in primary care	2
The birth of an impactful PACES tutorials for international medical graduates after '39 pregnant weeks' of virtual PACES sessions	2
Ambulatory investigation of palpitations, pre-syncope and syncope with AliveCor KardiaMobile and Wellysis S-Patch – a local joint working project	2
DIABETES AND TRANSPLANTATION	2
Clinical inertia – It is imperative to avoid delays in managing common conditions in pregnancy	2
Indications and considerations for kidney biopsy: an overview of clinical considerations for the non-specialist	2
Emerging tropical neurological infections	2
Digital NEWS? How to amplify the benefits of NEWS in a digital healthcare system	2