Clinical Medicine

Article	Citations
Multiple transfusion request audit	194
ORAL arsenic trioxide to combat acute promyelocytic leukaemia	124
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	106
Determinants of 1-year mortality after acute myocardial infarction in patients with and without diabetes	96
Utilising summative assessments to enhance learning in medicine: a valvular heart disease teaching course for a specialty practical exam	86
Long post-COVID-19 postural tachycardia syndrome (PoTS): A novel case	70
Iron deficiency in heart failure with reduced ejection fraction: improving treatment on the cardiology ward	69
Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study	63
Ambulatory management of diabetic foot complications	62
Risk Factors and An Interpretability Tool of In-hospital Mortality in Critically Ill Patients with Acute Myocardial Infarction	41
Laughing with serious consequences- a case report of recreational laughing gas use with functional vitamin B12 deficiency	41
Case series of choledocholithiasis more than 25 years after cholecystectomy	39
Doing simple things well can achieve significant benefits	37
Effects of fasting on solid organ transplant recipients during Ramadan – a practical guide for healthcare professionals	36
An update on hyper-acute management of ischaemic stroke	32
Identification of preoperative factors and postoperative outcomes in relation to delays in surgery for hip fractures	28
How to approach acute thrombosis and thrombocytopenia	28
The diagnosis and treatment of catatonia	27
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
Unilateral upper cervical cord infarction in Opalski's syndrome caused by spontaneous vertebral artery dissection	22
Management of hyperglycaemia in people with obesity	22
A series of patients with hospital-acquired diabetic ketoacidosis (HADKA): a descriptive analysis	21
Effective bedside teaching as a foundation doctor	21
Diagnosis and management of ventricular tachycardia	19

Diagnosis and management of non-cystic fibrosis bronchiectasis	18
Pandemics are here to stay: It's time for unity, both nationally and globally, in how we learn and respond	18
The Medical Licensing Assessment (MLA) Content Map: a list is not a syllabus, and a syllabus is not a curriculum	18
Letter to the editor: Are we missing pancreatic exocrine insufficiency in ‘at-risk’ groups?	17
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study	17
Purple urine bag syndrome	17
Perceptions of the impact of annual review of competence progression (ARCP): a mixed methods case study	16
Frequency of visual involvement in a 10-year interdisciplinary cohort of patients with giant cell arteritis	15
CME: Diabetes (136254): self-assessment questionnaire	15
Lymphocytosis and chronic lymphocytic leukaemia: investigation and management	15
An update on the clinical approach to giant cell arteritis	15
Frailty, multimorbidity and in-hospital cardiopulmonary resuscitation: predictable markers of outcome?	14
The diagnostic pathway in lung cancer patients with best supportive care decisions: are there lessons to be learnt?	14
A rare case of pulmonary benign metastasising leiomyomatosis in a woman with a previous history of hysterectomy for uterine fibroids	13
Hyperbaric oxygen therapy for the treatment of long COVID: early evaluation of a highly promising intervention	13
Causes of obesity: a review	13
Unwelcome guests: infectious disease beyond the pandemic	13
Age modifies both the maximal temperature and inflammatory response in patients with SARS-CoV-2 infection	12
Isolated cardiac sarcoidosis: A clinical challenge	12
Association between lipid profile and disease activity in rheumatoid arthritis	12
Dynamics of minimal residual disease and its clinical implications in multiple myeloma: A retrospective real-life analysis	12
Hospital at home – developing a simulation induction programme for junior doctors	12
Enhanced neurotrauma services: physician input into traumatic brain injury care	12
Improving the quality of care for people with giant cell arteritis	11
The clinical course of pneumomediastinum in patients with SARS-CoV-2 before invasive mechanical ventilation	11
Impact of changing medical workforce demographics in renal medicine over 7 years: Analysis of GMC national trainee survey data	11
Health means more than just healthcare	11
How to approach haemolysis: Haemolytic anaemia for the general physician	11
Test and trace ... and test again?	11
Point-of-care ultrasound reduces the impact on departmental radiology and echocardiography services: Results of 1-year service evaluation	10
Same-day emergency care	10
A rare presentation of geriatric non-epileptic seizures due to carotid artery encasement of a diffuse large B-cell lymphoma: A case report	10
Table of Contents	10
Thrombocytopenia: the good, the bad and the ugly	10
Image of the month: Mycotic aortic arch pseudoaneurysm due to Salmonella enterica	10
Decoding cardiac masquerade: Arrhythmogenic cardiomyopathy camouflaging as acute myocardial infarction	10
Engagement in research during specialist geriatric medicine training: results of a national trainee survey	10
Health and care needs of hospitalised people experiencing homelessness: an inpatient audit	10
Table of Contents	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	9
Chronic lymphocytic leukaemia in the elderly	9
Editorial: Learnings from all walks of medical practice	9
The management of severe eczema in pregnancy	9
Don't just fit and forget: incremental benefit of optimisation of medical therapy post-cardiac resynchronisation therapy	9
Rapid echocardiography in the primary angioplasty era for timely detection and management of acute Stanford type A aortic dissection: a case illustration	9
The diagnosis of fibromyalgia syndrome	9
The BSG/BASL bundle for patients admitted with decompensated chronic liver disease improves standard of care but utilisation is poor across the UK	9
Controversies in thyroid disease management in pregnancy	9
Cancer immunotherapy and the management of side effects	9
The use of tociluzimab in COVID-19 inpatients: experience from a district general hospital	9

The rapid progression of Creutzfeldt–Jakob disease with concomitant COVID-19 infection: a case report	9
Nipah virus, an emerging zoonotic disease causing fatal encephalitis	9
Use of IV immunoglobulin to treat steroid resistant, immune checkpoint inhibitor induced pure red cell aplasia. A case report	9
A comparison of giant cell arteritis referrals and outcomes during the COVID-19 pandemic: experience from a district general hospital in the UK	9
A rare case of TEN-like acute cutaneous lupus	9
A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care	8
Management of pituitary incidentalomas	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
People living in homeless hostels: a survey of health and care needs	8
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	8
The protective effect of previous COVID-19 infection in a high-prevalence hospital setting	8
‘Face time’ for the first time: Video communication between relatives and junior doctors in the COVID-19 pandemic	8
Thrombophilia testing in the era of direct oral anticoagulants	8
NEWS2 and the older person	8
Optimisation of strategies for management of heart failure with preserved ejection fraction	8
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	8
Secondary hemophagocytic lymphohistiocytosis: an unusual complication in disseminated Mycobacterium tuberculosis	8
Cancer immunotherapy and the management of side effects	8
The use of metaverse in medical education: A systematic review	7
Clinical academics’ experiences of REF2021	7
Aerosolised fluorescein can quantify FFP mask faceseal leakage: a cost-effective adaptation to the existing point of care fit test	7
Genomics in the kidney clinic	7
Treat staff like they make a difference, and they will	7
A genetic paradigm shift: Deciphering stress-induced molecular mechanisms fuelling cancer genesis	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
Do you need a weatherman to know which way the wind blows?	7
Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited	7
Clouds come floating into my life from other days no longer to shed rain or usher storm but to give colour to my sunset sky	7
Idiopathic multicentric Castleman disease and its rare association with peripheral neuropathy and stroke	7
Importance of point of care ultrasound in the diagnosis of severe mitral regurgitation	7
Severe acute pulmonary embolism in pregnancy	7
Inhaled beclomethasone in the treatment of early COVID-19: a phase 2, double-blind, placebo-controlled, randomised trial	7
Diabetes and the kidney	7
Subarachnoid haemorrhage rules	7
Learning from the past rather than living in it	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
Demographic characteristics of patients with giant cell arteritis in Sheffield, England	6
Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review	6
The National Early Warning Score: from concept to NHS implementation	6
Outpatient parenteral antibiotic treatment for infective endocarditis: A retrospective observational evaluation	6
Bickerstaff's brainstem encephalitis: A diagnostic challenge	6
‘I brought that up in my appraisal ... and my consultant said no.’ Structure and agency in specialty and associate specialist (SAS) doctors’ experiences of appraisal	6
Cocaine-induced granulomatosis with polyangiitis: an under-recognised condition	6
Unexplained breathlessness: Integrating pathophysiological insights with clinical evaluation	6
Time for preference-informed foundation allocation?	6
Determining factors influencing hospital stay for individuals admitted with diabetes-related ketoacidosis – findings from DEKODE length of stay quality improvement project	6
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	6
Thromboelastography for rapid diagnosis of heparin-like anticoagulant release during anaphylaxis-induced coagulopathy in systemic mastocytosis: a case report	6
Peritoneal dialysis patients – the forgotten group in the coronavirus pandemic	6
Attitudes toward deprescribing for hospital inpatients	6
Seeing what others see while thinking what others have not	6
Prediction of admission to a low-resource sub-Saharan hospital by mental status, mobility and oxygen saturation recorded on arrival: a prospective observational study	6
Breathe easy: encouraging climate-conscious inhalers	6
A National audit of the care of patients with acute kidney injury in England and Wales in 2019 and the association with patient outcomes	6
COVID-19 infection as a parameter in the CHA2DS2 vascular risk assessment tool	6
Prescribing for change – safer antimicrobial use in hospitals	5
Images of the month 2: Disseminated nocardiosis in a 60-year-old woman with sarcoidosis	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
Acute intermittent porphyria: is oseltamivir safe in these patients?	5
Early applications of ChatGPT in medical practice, education and research	5
Targeting contributory factors in difficult-to-treat rheumatoid arthritis	5
Pfizer COVID-19 vaccine-induced peritonitis	5
‘Food for thought’: The importance of nutrition to patient care and the role of the junior doctor	5
The index of suspicion for iron deficiency in non-anaemic subjects	5
CME: Geriatric medicine (141062): self-assessment questionnaire	5
Isolated headache is not a reliable indicator for brain cancer: the 2-week wait pathway for suspected CNS malignancies	5
Letter to the Editor on Recurrent fever of unknown origin: Don't forget the diary	5
Let's voice it- bridging the cervical screening health inequality among sexual minority women	5
Improving compliance to DEXA in IBD population according to BSG guidelines in Morriston Hospital, Swansea	5
The false positive troponin results: case studies of analytical interference	5
Harveian Oration 2020: Elucidation of molecular oxygen sensing mechanisms in human cells: implications for medicine	5
Putting your HAT on	5
Four key problems that will need to be addressed during the next pandemic	5
Improving the quality of bowel preparation among patients undergoing colonoscopy in a quaternary care centre - A quality improvement project	5
Assessing variation in complications and outcomes of diabetic ketoacidosis management in the United Kingdom: a multicentre quality improvement initiative	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	4
Posterior circulation ischaemic stroke diagnosis and management	4
Lesson of the month: Recurrent falls and hypoglycaemia in an older woman	4

A teenager with ophthalmoparesis and dysphagia	4
Benefits of a falls service during the pandemic	4
Valproate-induced hyperammonemic encephalopathy treated by L-ornithine-L-aspartate: a case report	4
Developing an electronic surprise question to predict end-of-life prognosis in a prospective cohort study of acute hospital admissions	4
Pituitary apoplexy leading to stress-related cardiomyopathy and ischaemic stroke – A rare finding	4
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	4
Image of the month: An unusual cause of cough, stridor and dyspnoea: A giant aortic arch aneurysm	4
FIT and the endoscopy service in Swansea Bay Health Board during the COVID-19 pandemic	4
Sustainability in endoscopy: online endoscopy education platform significantly reduces carbon footprint of patient travel	4
Fever, rash & polyarthritis – The importance of thinking about STIs within the acute medical take	4
Approaches to building rapport with patients	4
Images of the month 1: Recurrent ischaemic stroke secondary to Eagle syndrome	4
Acute quadriplegia and epileptic seizures in a 47-year-old man	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
A retrospective audit of out-of-hours mechanical thrombectomy of anterior circulation large vessel occlusion in a UK tertiary centre	4
Response	4
Infectious diseases at the front door: Focus on the fundamentals	4
A tertiary care ambulatory heart failure pathway managing one-third of all admissions including older patients with similar quality to inpatient management	4
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	4
Safety and efficacy of apixaban dosage for stroke prevention in atrial fibrillation with acute kidney injury populations in a tertiary care hospital	4
CME: Gastroenterology (147143): self-assessment questionnaire	4
Hyperglycaemia and inpatient mortality and morbidity	4
Inflammatory eye disease: An overview of clinical presentation and management	4
Efficacy of CGRP inhibitors in preventive pharmacotherapy for migraine - A network meta-analysis and systematic review	4
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	4
Providing an acute oncology service during the COVID-19 pandemic	4
Pulmonary endemic mycoses	4
Reduction of physical activity during the COVID-19 pandemic is related to increased neuropsychiatric symptoms in memory clinic patients	4
What is the impact of COVID-19 on complaints against doctors?	4
Mesenteric ischaemia following posterior myocardial infarction	4
Long COVID services: Implementing discrete event simulation, a quality improvement proposition	4
Developing chief investigators within the NHS: the West Midlands clinical trials scholars programme	4
Perfusion imaging in acute ischaemic stroke – the beginning of the end?	4
Foundation doctors’ perspectives on the impact of the COVID-19 pandemic and lessons for the future	4
Functional gastrointestinal disorders: History taking skills in practice	3
Implementation of SAMPL guidelines: Recommendations for improving statistical reporting in biomedical journals	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
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
‘Passenger announcement: Is there a doctor on board?’ Tackling impostor phenomenon in the transition from medical student to foundation doctor	3
Secondary hyperparathyroidism in chronic kidney disease: A narrative review focus on therapeutic strategy	3
CME: Infectious diseases (141750): self-assessment questionnaire	3
Appropriateness of the use of CTPAs (computed tomographic pulmonary angiograms) in suspected pulmonary embolisms	3
Group B streptococcus-associated invasive infections in the adult, non-pregnant population; incidence, risk factors, and clinical presentations beyond borders	3
Images of the month 3: Transient perivascular inflammation of the carotid artery syndrome	3
Lessons of the month 1: Mesenteric ischaemia secondary to infective endocarditis	3
‘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)	3
The weight of obesity in hypertrophic cardiomyopathy	3
The development and introduction of a national e-learning programme to support the dissemination of NEWS2	3
Updates in heart failure	3
Crohn's disease: an update	3
Immunotherapy related acute kidney injury	3
Evidence-based appraisal of situational judgement tests (revisited)	3
Improving endotherapy training for upper gastro-intestinal bleeding (UGIB) using a novel, low cost, home-made porcine model	3
Gin OR tonic: The dermatological hazards of cocktail-based quinine	3
A novel mutation in the ABCC8 gene causing maturity-onset diabetes of the young: A case report	3
Reduction of home-acquired pressure ulcers among palliative patients using quality tools and techniques	3
Clinical accuracy of infrared temperature measurement devices: a comparison against non-invasive core-body temperature	3
The National Bowel Cancer Screening Programme: a service for the asymptomatic or a pathway acting as a safety net?	3
Mandibular movement monitor provides faster, yet accurate diagnosis for obstructive sleep apnoea: A randomised controlled study	3
Supporting patients with hypercapnia	3
Adenosine-sensitive ventricular tachycardia	3
Advanced Therapy Screening in Inflammatory Bowel Disease and the Impact of Clinical Nurse Specialists: A Retrospective Analysis of Electronic Patient Records	3
Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19)	3
Predicting outcomes for Crohn's disease using a molecular biomarker: profile trial	3
Acute urinary retention and constipation caused by multi-dermatomal herpes zoster in an immunosuppressed patient	3
Response to: Letter to the editor: Sleep measures and cardiovascular disease in type 2 diabetes mellitus	3
Strongyloides stercoralis infection in the UK: A systematic review and meta-analysis of published cases	3
Impact of Covid-19 pandemic on patients with diabetes from Black Asian and minority ethnic community in a district general hospital	3
Improving hyperacute stroke pathways at two specialist cardiothoracic centres (Royal Brompton Hospital and Harefield Hospital)	3
Relapsing polychondritis presenting with sero-negative limbic encephalitis	3
Health and work	3
Emergency treatment of anaphylaxis: concise clinical guidance	3
Staphylococcus aureus bacteraemia for the general physician: A narrative review of a metastatic infection with malignant complications	3